Coakley, Mary

Coakley, Mary is an individual health care provider with primary practice located at 2364 Washington St , Newton MA 02462-1440. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Coakley, Mary can be contacted via phone (617) 332-2047.

Contact Information

Primary practice address
2364 Washington St Newton MA 02462-1440
Phone: (617) 332-2047
Fax: (617) 332-7341
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 83284 Massachusetts

Profile Details

NPI number 1326018482
LBN Legal business name Coakley, Mary
Credentials APRN, BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Apr 10th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326018482 NPPES
Massachusetts Other PN0235 BLUE CROSS BLUE SHIELD

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