Demetri Beau Coffin, PSYD is a
Psychologist - Clinical based in San Diego, California. Demetri Beau Coffin is licensed to practice in California (license number PSY 23484) and his current practice location is
1094 Cudahy Pl, Ste. #314, San Diego, California. He can be reached at his office (for appointments etc.) via phone at
(619) 276-8112.
NPI number for Demetri Beau Coffin is 1871668749 and his current mailing address is 1094 Cudahy Pl, Ste. #314, San Diego, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1871668749.
Healthcare Provider's Profile
| Full Name | Demetri Beau Coffin |
|---|
| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 1094 Cudahy Pl, San Diego, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1871668749
- Provider Enumeration Date: 11/22/2006
- Last Update Date: 03/17/2011
Medical Identifiers
Medical identifiers for Demetri Beau Coffin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871668749 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY 23484 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Demetri Beau Coffin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Demetri Beau Coffin, PSYD
1094 Cudahy Pl, Ste. #314,
San Diego, CA 92110-3931
Ph: (619) 944-0307 | Demetri Beau Coffin, PSYD
1094 Cudahy Pl, Ste. #314,
San Diego, CA 92110-3931
Ph: (619) 276-8112 |
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