| Kelly Lynn Coburn, | |
|
30 Warren St, Speech-language-hearing, Brighton, MA 02135-3602 | |
| (617) 254-3800 | |
| Not Available |
| Full Name | Kelly Lynn Coburn |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 30 Warren St, Brighton, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881962488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Comptroller of Maryland Central Payroll Bureau |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1871609545 PECOS PAC ID: 7416859327 Enrollment ID: O20081008000739 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Lynn Coburn, 30 Warren St, Speech-language-hearing, Brighton, MA 02135-3602 Ph: Not Available | Kelly Lynn Coburn, 30 Warren St, Speech-language-hearing, Brighton, MA 02135-3602 Ph: (617) 254-3800 |
Ms. Margaret Arcuni Huber, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 736 Cambridge St, Brighton, MA 02135 Phone: 617-562-7735 |
Sara Elizabeth Gardner, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 242 Corey Rd, Brighton, MA 02135 Phone: 203-241-1926 |
Julia Martine Rifkin, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 30 Warren St, Brighton, MA 02135 Phone: 617-254-3800 |
Charissa Lin, MS-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 33 Montcalm Ave # 1, Brighton, MA 02135 Phone: 617-807-0665 |
Aimee Jarden, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 59 Riverview Rd, Brighton, MA 02135 Phone: 508-123-8899 |
Viktoriya Berdichevsky, M.S., SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 30 Warren St, Brighton, MA 02135 Phone: 617-254-3800 |
Mrs. Svetlana Piliavsky, MED-CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 170 Corey Rd, Brighton, MA 02135 Phone: 617-383-6624 |