Coburn, Jeanne M

Coburn, Jeanne M is an individual health care provider with primary practice located at 45 Round Hill Rd , Northampton MA 01060-2123. She recently has 3 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Coburn, Jeanne M can be contacted via phone (413) 582-1114.

Contact Information

Primary practice address
45 Round Hill Rd Northampton MA 01060-2123
Phone: (413) 582-1114
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 683 Massachusetts
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 5753 Massachusetts
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 683 Massachusetts

Profile Details

NPI number 1467593319
LBN Legal business name Coburn, Jeanne M
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Jul 9th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467593319 NPPES
Massachusetts MEDICAID 5104106

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