Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417263526 Individual Practitioner Female Practitioner

Mary Kathryn Coburn , CCC-SLP

Speech-Language Pathologist • Tumwater, WA

Professional Overview & Biography Verified Profile Summary

Mary Coburn, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Tumwater, WA. Practice services are available at 344 CLEVELAND AVE SE STE F under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

344 Cleveland Ave Se Ste F

Tumwater, WA 985013342

Telephone 3603502220
Fax 8558148815
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Tumwater, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
16 Specialists

Practicing in Tumwater, WA (4167 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-04-29
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License WA LL 60390353

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Occupational Therapist

NUCC Taxonomy Code: 225X00000X

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Matthew Hart , OTD

Occupational Therapist

NPI 1427534577

Doctor of Occupational Therapy

William Coburn

Speech-Language Pathologist

NPI 1942724158

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location April 29, 2024

Registered at 344 CLEVELAND AVE SE STE F, TUMWATER, WA 985013342 (Tel: 3603502220)

📍
Updated Business Mailing Address April 29, 2024

Registered at 344 CLEVELAND AVE SE STE F, TUMWATER, WA 985013342 (Tel: 3603502220)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2024

Speech-Language Pathologist

📍
Updated Practice Location November 17, 2023

Registered at 2413 PACIFIC AVE SE STE A, OLYMPIA, WA 985012087 (Tel: 3603502220)

📍
Updated Business Mailing Address November 17, 2023

Registered at 2413 PACIFIC AVE SE STE A, OLYMPIA, WA 985012087 (Tel: 3603502220)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2023

Occupational Therapist

📍
Updated Practice Location June 10, 2021

Registered at 2620 RW JOHNSON BLVD SW, SUITE 112, TUMWATER, WA 985129851 (Tel: 3603502220)

📍
Updated Business Mailing Address June 10, 2021

Registered at 2620 RW JOHNSON BLVD SW, SUITE 112, TUMWATER, WA 98512 (Tel: 3603502220)

NPI Profile Active June 23, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 23, 2014

Registered at 18223 RAMPART DR SE, YELM, WA 985979018 (Tel: 5754423405)

📍
Updated Business Mailing Address June 23, 2014

Registered at 18223 RAMPART DR SE, YELM, WA 985979018

👤
Provider Name / Credentials Updated June 23, 2014

Recorded as MARY COBURN, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2014

Speech-Language Pathologist (License #LL 60390353 in WA)

🟢
Initial NPI Registration & Enumeration August 26, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1417263526
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2010
Last Update: April 29, 2024
Sole Proprietor: Yes

Mailing Address

344 Cleveland Ave Se Ste F

Tumwater, WA 985013342

Phone: 3603502220

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.