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NPI Code Detail

MEDICARE: MR. JOHN JOSEPH COYNE M.S., CCC-SLP

MEDICARE: MR. JOHN JOSEPH COYNE M.S., 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
1235Z00000XSpeech-Language Pathologist011309-1NY
2235Z00000XSpeech-Language Pathologist146.011892IL
3235Z00000XSpeech-Language PathologistSL011655PA

General Provider Information

NPI Number : 1386051951
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHN JOSEPH COYNE M.S., CCC-SLP
Provider Business Mailing Address
First Line : 1296 RHODES RD
Second Line :
City : JOHNSON CITY
State : NY
Zip : 13790-4825
Country : US
Telephone Number : 813-390-0668
Fax Number :
Provider Business Practice Location Address
First Line : 1296 RHODES RD
Second Line :
City : JOHNSON CITY
State : NY
Zip : 13790-4825
Country : US
Telephone Number : 813-390-0668
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2014
Last Update Date : 07/16/2014

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Directions to “ MR. JOHN JOSEPH COYNE M.S., CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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