Coyne Operated Psychotherapy Inc | |
200 Tamal Plz Ste 130 Corte Madera CA 94925-1195 | |
(415) 322-3018 | |
Not Available |
Full Name | Coyne Operated Psychotherapy Inc |
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Speciality | Clinic/center - Adult Mental Health |
Location | 200 Tamal Plz Ste 130, Corte Madera, California |
Authorized Official Name and Position | John Coyne (PRESIDENT) |
Authorized Official Contact | 4153223018 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Coyne Operated Psychotherapy Inc 769 Center Blvd, Pmb 125 Fairfax CA 94930-1764 Ph: (415) 322-3018 | Coyne Operated Psychotherapy Inc 200 Tamal Plz Ste 130 Corte Madera CA 94925-1195 Ph: (415) 322-3018 |
NPI Number | 1861264574 |
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Provider Enumeration Date | 10/25/2023 |
Last Update Date | 10/25/2023 |
Certification Date | 10/25/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861264574 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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