MEDICARE: KIRSTEN LEIGH COFFEY MS, CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SLP013848	GA
2	235Z00000X	Speech-Language Pathologist	11468	NC

General Provider Information

NPI Number	:	1174490452
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIRSTEN LEIGH COFFEY MS, CCC-SLP

Provider Business Mailing Address
First Line	:	1941 RIDGEMONT LN
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30033-4068
Country	:	US
Telephone Number	:	828-850-3518
Fax Number	:

Provider Business Practice Location Address
First Line	:	495 WINN WAY STE 210
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30030-1710
Country	:	US
Telephone Number	:	770-209-9826
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2025
Last Update Date	:	02/23/2026

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Directions to “ KIRSTEN LEIGH COFFEY MS, CCC-SLP” Practice Location

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