Provider Demographics
NPI:1417180985
Name:COLDIRON, KATHLEEN ALEXANDER (CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:ALEXANDER
Last Name:COLDIRON
Suffix:
Gender:F
Credentials:CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 DUFFY LN
Mailing Address - Street 2:
Mailing Address - City:VILLE PLATTE
Mailing Address - State:LA
Mailing Address - Zip Code:70586-6000
Mailing Address - Country:US
Mailing Address - Phone:337-363-5757
Mailing Address - Fax:
Practice Address - Street 1:138 DUFFY LN
Practice Address - Street 2:
Practice Address - City:VILLE PLATTE
Practice Address - State:LA
Practice Address - Zip Code:70586-6000
Practice Address - Country:US
Practice Address - Phone:337-363-5757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-31
Last Update Date:2009-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA921235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist