Individual provider · Type 1 NPI
Carolyn Coyne Maryan
Speech-Language Assistant · Potosi, MO
NPI number
1083017461
Active
Practice location
400 Mine St., Citadel School
Potosi, MO 63664
Fax (573) 436-0361
Mailing address
7709 Bellstone Rd.
St. Louis, MO 63119
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Assistant Primary | 2355S0801X | None listed |
Speech-Language Assistant: Definition to come...
About NPI 1083017461
Carolyn Coyne Maryan's National Provider Identifier is 1083017461, issued on Sep 30, 2014. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Potosi, MO. The record was last updated on Sep 30, 2014.