Provider Demographics
NPI:1386049765
Name:COONS, KERRI ANN (CFY-SLP)
Entity type:Individual
Prefix:MISS
First Name:KERRI ANN
Middle Name:
Last Name:COONS
Suffix:
Gender:F
Credentials:CFY-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3684 CRESCENT PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32812-3825
Mailing Address - Country:US
Mailing Address - Phone:772-370-0628
Mailing Address - Fax:
Practice Address - Street 1:7758 WALLACE RD
Practice Address - Street 2:SUITE I
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-7219
Practice Address - Country:US
Practice Address - Phone:407-384-2767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-28
Last Update Date:2014-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist