Coral Noble, MS CCC SLP

Individual provider Active NPI Speech-Language Pathologist · Brush, CO

NPI 1841508686 · NPPES record last updated Sep 14, 2010

Key facts

NPI
1841508686
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SA 9351 (FL)
Practice address
122 Hospital Rd
Brush, CO 80723-1702
Phone
(970) 842-2861
NPI assigned
Sep 14, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP 18385CAMDSpeech-Language Pathologist
SA 9351FLMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA 9351 FL Yes
Speech-Language Pathologist 235Z00000X SP 18385 CA

Addresses

Primary practice location

122 Hospital Rd
Brush, CO 80723-1702

Mailing address

PO Box 721
Fort Morgan, CO 80701-0721
Phone (904) 415-3229

Other providers in Brush, CO

All providers in Brush, CO · Speech-Language Pathologist in Colorado

Sources for this page

Verify at the official NPI Registry.