Coyle, Andrea T

Coyle, Andrea T is an individual health care provider with primary practice located at 5A Sunset Ave. , Putnam CT 06260. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Coyle, Andrea T can be contacted via phone (860) 928-2119.

Contact Information

Primary practice address
5A Sunset Ave. Putnam CT 06260
Phone: (860) 928-2119
Fax: (860) 928-4079
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 001513 Connecticut

Profile Details

NPI number 1740385186
LBN Legal business name Coyle, Andrea T
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Mar 11th, 2009 - 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 1740385186 NPPES
Connecticut MEDICAID 004094497

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