Doctor Name: | MS. TERESA D COFFMAN |
NPI Number: | 1003956772 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BS |
License Number: | 1249 |
Business Practice Address: | 322 Frontier Blvd Stanford, KY - 404847730 |
Business Phone Number: | 8592531686 |
Business Fax Number: | 8592542743 |
Mailing Address: | 1351 Newtown Pike, LEXINGTON |
State: | KY |
Postal Code: | 405111217 |
Phone Number: | 8592531686 |
Fax Number: | 8592542743 |
NPI Enumeration Date: | 02/08/2007 |
NPI Last Update Date: | 06/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 1249 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |