Carolyn Coyne Maryan
Specialist/Technologist, Speech-Language Assistant in Potosi, MO. Individual provider (NPI-1).
NPI number1083017461
StatusActive
Last updated in NPPESSep 30, 2014
Details
- NPI
- 1083017461
- Entity type
- Individual (NPI-1)
- Name
- Ms. Carolyn Coyne Maryan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 30, 2014
- Last updated
- Sep 30, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2355S0801X | Specialist/Technologist, Speech-Language Assistant | – | – | Yes |
Practice location
400 Mine St.Citadel School
Potosi, MO 63664
Phone 573-438-2472 · Fax 573-436-0361
Mailing address
7709 Bellstone Rd.St. Louis, MO 63119
Phone 314-322-7921
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