Doctor Name: | MRS. JUDITH C. COYLE |
NPI Number: | 1871822940 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPC |
License Number: | LPC1669 |
Business Practice Address: | 6400 Lee Highway Suite 106 Chattanooga, TN - 37421 |
Business Phone Number: | 4238550402 |
Business Fax Number: | 4236489369 |
Mailing Address: | 6400 Lee Highway, Suite 106 CHATTANOOGA |
State: | TN |
Postal Code: | 37421 |
Phone Number: | 4238550402 |
Fax Number: | 4236489369 |
NPI Enumeration Date: | 12/18/2009 |
NPI Last Update Date: | 12/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPC1669 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |