Coffin, Raymond John
Coffin, Raymond John is an sole proprietor health care provider with primary practice located at 106 E Badillo St , Covina CA 91723-2113. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Coffin, Raymond John can be contacted via phone (626) 915-7581.Contact Information
Primary practice address
106 E Badillo St
Covina CA 91723-2113
Phone: (626) 915-7581
Fax: (626) 915-7588
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY15496 | California |
Profile Details
| NPI number | 1720065626 |
|---|---|
| LBN Legal business name | Coffin, Raymond John |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 30th, 2005 |
| Last updated | May 18th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720065626 | NPPES |
| California | Other | PSY15496 | PSYCHOLOGIST LICENSE |
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