| Doctor Name: | DR. RONALD DUANE COFFEN |
| NPI Number: | 1346219508 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 6301012485 |
| Business Practice Address: | 1045 E Front St Ste B4 Buchanan, MI - 491078474 |
| Business Phone Number: | 2694713491 |
| Business Fax Number: | 2694713491 |
| Mailing Address: | 4195 Administration Dr, BERRIEN SPRINGS |
| State: | MI |
| Postal Code: | 491040001 |
| Phone Number: | 2694713491 |
| Fax Number: | 2694713491 |
| NPI Enumeration Date: | 03/17/2006 |
| NPI Last Update Date: | 03/04/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 6301012485 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |