Provider Demographics
NPI:1992411169
Name:COATS, PAIGE (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:
Last Name:COATS
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23395 FM 2090 RD
Mailing Address - Street 2:
Mailing Address - City:SPLENDORA
Mailing Address - State:TX
Mailing Address - Zip Code:77372-3187
Mailing Address - Country:US
Mailing Address - Phone:281-689-4419
Mailing Address - Fax:
Practice Address - Street 1:23395 FM 2090 RD
Practice Address - Street 2:
Practice Address - City:SPLENDORA
Practice Address - State:TX
Practice Address - Zip Code:77372-3187
Practice Address - Country:US
Practice Address - Phone:281-689-3073
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist