Coyle Psychological Associates Llc | |
5a Sunset Ave Putnam CT 06260-2915 | |
(860) 928-2119 | |
(860) 928-4079 |
Full Name | Coyle Psychological Associates Llc |
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Speciality | Psychologist |
Location | 5a Sunset Ave, Putnam, Connecticut |
Authorized Official Name and Position | Andrea Coyle (ADMINISTRATOR, PH,D.) |
Authorized Official Contact | 8609282119 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Coyle Psychological Associates Llc Po Box 158 Woodstock CT 06281-0158 Ph: (860) 928-2119 | Coyle Psychological Associates Llc 5a Sunset Ave Putnam CT 06260-2915 Ph: (860) 928-2119 |
NPI Number | 1508961293 |
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Provider Enumeration Date | 09/14/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 0244251270 |
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Medicare Enrollment ID | O20051219000006 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508961293 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Andrea T Coyle |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1740385186 PECOS PAC ID: 2062433097 Enrollment ID: I20051219000423 |
Provider Name | Michael P Coyle |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1316044738 PECOS PAC ID: 1951322940 Enrollment ID: I20051219000455 |
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