Healthcare Provider Details

I. General information

NPI: 1881095370
Provider Name (Legal Business Name): ADAM COE M.S., CCC-SLP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2014
Last Update Date: 03/09/2020
Certification Date: 03/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12550 AURORA AVE N
SEATTLE WA
98133-8036
US

IV. Provider business mailing address

12550 AURORA AVE N
SEATTLE WA
98133-8036
US

V. Phone/Fax

Practice location:
  • Phone: 206-363-7303
  • Fax:
Mailing address:
  • Phone: 206-582-0100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberLL60931367
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: