Provider Demographics
NPI:1144689225
Name:COALE, SHARON (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:COALE
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13545 PATERNAL GIFT DR
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:MD
Mailing Address - Zip Code:20777-9575
Mailing Address - Country:US
Mailing Address - Phone:301-854-9197
Mailing Address - Fax:301-854-9198
Practice Address - Street 1:13545 PATERNAL GIFT DR
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:MD
Practice Address - Zip Code:20777-9575
Practice Address - Country:US
Practice Address - Phone:301-854-9197
Practice Address - Fax:301-854-9198
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-17
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02560235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist