Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa Marie Coudrey

Individual provider Speech-Language Pathologist · NPI 1861962060

Lisa Marie Coudrey is a Speech-Language Pathologist in Gowanda, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2018
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Practice location Address checks out

63 W Main St
Gowanda, NY 14070-9998
Phone: (716) 698-2552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 025621 (NY)

Record details

NPI number1861962060
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 29, 2018
Last updated in NPPESAugust 25, 2021
Certification dateAugust 25, 2021
Mailing address63 W Main St, Gowanda, NY 14070-9998

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