Doctor Name: | DR. JOSEPH J COYNE |
NPI Number: | 1285657320 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 627 |
Business Practice Address: | 645 Westwood Ave Suite 303 Rivervale, NJ - 076752414 |
Business Phone Number: | 2016660232 |
Business Fax Number: | |
Mailing Address: | 95 Hurlbut St, WESTWOOD |
State: | NJ |
Postal Code: | 076752914 |
Phone Number: | 2016666735 |
Fax Number: | |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 04/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 627 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |