Coffin, Bethann Boddum
Coffin, Bethann Boddum is an sole proprietor health care provider with primary practice located at 150 Grand Ave Suite 101, Oakland CA 94612-3781. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Coffin, Bethann Boddum can be contacted via phone (510) 451-5800.Contact Information
Primary practice address
150 Grand Ave Suite 101
Oakland CA 94612-3781
Phone: (510) 451-5800
Fax: (510) 451-5802
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP10153 | California |
Profile Details
| NPI number | 1275825390 |
|---|---|
| LBN Legal business name | Coffin, Bethann Boddum |
| Credentials | M.A., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2011 |
| Last updated | May 8th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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