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:
Health care specialties
Specialty | Code | License # | 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 16 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 | 1740385186 | NPPES |
Connecticut | MEDICAID | 004094497 |
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