National Provider Identifier
Mary Coulon
Mary Coulon is listed in the NPPES registry with a primary specialty of Developmental Therapist in Webster, NY and a listed phone number of (585) 545-4861.
Profile Overview
- NPI
- 1922350685
- Provider Type
- Individual
- Primary Specialty
- Developmental Therapist
- Enumeration Date
- October 04, 2012
- Last Updated
- March 02, 2020
Practice Location
- 1456 Ridge RD
- Webster, NY 14580-3619
Phone: (585) 545-4861
Mailing Address
- 310 Brooksboro Dr
- Webster, NY 14580-9733
Specialties
- Developmental Therapist (222Q00000X)
Full Record
- NPI
- 1922350685
- Entity Type
- Individual
- Last Name
- Coulon
- First Name
- Mary
- Mailing Street Address
- 310 Brooksboro Dr
- Mailing City
- Webster
- Mailing State
- NY
- Mailing ZIP Code
- 14580-9733
- Mailing Country
- US
- Practice Street Address
- 1456 Ridge RD
- Practice City
- Webster
- Practice State
- NY
- Practice ZIP Code
- 14580-3619
- Practice Country
- US
- Practice Phone
- (585) 545-4861
- Enumeration Date
- October 04, 2012
- Last Updated
- March 02, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- March 02, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Developmental Therapist (222Q00000X)