Coughlin, Maribeth

Coughlin, Maribeth is an individual health care provider with primary practice located at 169 Libbey Industrial Pkwy 2Nd Floor, Weymouth MA 02189-3101. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Coughlin, Maribeth can be contacted via phone (781) 682-1060.

Contact Information

Primary practice address
169 Libbey Industrial Pkwy 2Nd Floor Weymouth MA 02189-3101
Phone: (781) 682-1060
Fax: (781) 682-1061
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1024551 Massachusetts

Profile Details

NPI number 1619057874
LBN Legal business name Coughlin, Maribeth
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Jul 8th, 2007 - 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 1619057874 NPPES
Massachusetts Other 081218 VALUE OPTIONS PROVIDER NU
Massachusetts Other P07016 VALUE OPTIONS PROVIDER NU
Massachusetts Other 6200034 VALUE OPTIONS PROVIDER NU

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