National Provider Identifier
Lisa A Coughlin, CCC/SLP
Lisa A Coughlin, CCC/SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Buffalo, NY and a listed phone number of (716) 821-9649.
Profile Overview
- NPI
- 1639328842
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- September 11, 2008
- Last Updated
- September 11, 2008
Practice Location
- 137 Cushing Pl
- Buffalo, NY 14220-2555
Phone: (716) 821-9649
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1639328842
- Entity Type
- Individual
- Last Name
- Coughlin
- First Name
- Lisa
- Middle Name
- A
- Name Prefix
- Mrs.
- Credential
- CCC/SLP
- Provider Other Last Name
- Podgorny
- Provider Other First Name
- Lisa
- Provider Other Middle Name
- A
- Provider Other Name Prefix Text
- Miss
- Provider Other Credential Text
- TSHH
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 137 Cushing Pl
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14220-2555
- Mailing Country
- US
- Mailing Phone
- (716) 821-9649
- Practice Street Address
- 137 Cushing Pl
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14220-2555
- Practice Country
- US
- Practice Phone
- (716) 821-9649
- Enumeration Date
- September 11, 2008
- Last Updated
- September 11, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)