National Provider Identifier
Lisa Marie Coudrey
Lisa Marie Coudrey is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Gowanda, NY and a listed phone number of (716) 698-2552.
Profile Overview
- NPI
- 1861962060
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- November 29, 2018
- Last Updated
- August 25, 2021
Practice Location
- 63 W Main St
- Gowanda, NY 14070-9998
Phone: (716) 698-2552
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1861962060
- Entity Type
- Individual
- Last Name
- Coudrey
- First Name
- Lisa
- Middle Name
- Marie
- Mailing Street Address
- 63 W Main St
- Mailing City
- Gowanda
- Mailing State
- NY
- Mailing ZIP Code
- 14070-9998
- Mailing Country
- US
- Practice Street Address
- 63 W Main St
- Practice City
- Gowanda
- Practice State
- NY
- Practice ZIP Code
- 14070-9998
- Practice Country
- US
- Practice Phone
- (716) 698-2552
- Enumeration Date
- November 29, 2018
- Last Updated
- August 25, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- August 25, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)