Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Mary Kathryn Coburn, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1417263526

Mrs. Mary Kathryn Coburn, CCC-SLP is a Speech-Language Pathologist in Tumwater, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2010
Specialties on file
3
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

344 Cleveland Ave SE Ste F
Tumwater, WA 98501-3342
Phone: (360) 350-2220
Fax: (855) 814-8815
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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 LL 60390353 (WA)
Speech-Language Pathologist Taxonomy 235Z00000X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1417263526
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedAugust 26, 2010
Last updated in NPPESApril 29, 2024
Certification dateApril 29, 2024

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