Doctor Name: | CHRISTINE K. COYLE |
NPI Number: | 1477848042 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 2060 |
Business Practice Address: | 107 Church Hill Rd Suite 1 Sandy Hook, CT - 064821108 |
Business Phone Number: | 2032709888 |
Business Fax Number: | |
Mailing Address: | 19 Raemont Rd, GRANITE SPRINGS |
State: | NY |
Postal Code: | 105271113 |
Phone Number: | 9142485363 |
Fax Number: | |
NPI Enumeration Date: | 06/12/2011 |
NPI Last Update Date: | 06/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2060 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |