Doctor Name: | JANET E. COYLE |
NPI Number: | 1043427735 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.P.C. |
License Number: | 37PC00094000 |
Business Practice Address: | 11000 Lincoln Dr W Suite 5 Marlton, NJ - 080533431 |
Business Phone Number: | 8569854300 |
Business Fax Number: | 8569854313 |
Mailing Address: | 11000 Lincoln Dr W, Suite 5 MARLTON |
State: | NJ |
Postal Code: | 080533431 |
Phone Number: | 8569854300 |
Fax Number: | 8569854313 |
NPI Enumeration Date: | 05/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 37PC00094000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |