Michael C Coffman, PSYD | |
146 2nd St N Ste 305, Saint Petersburg, FL 33701-3361 | |
(727) 289-6583 | |
Not Available |
Full Name | Michael C Coffman |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 146 2nd St N Ste 305, Saint Petersburg, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1598414542 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | PY9832 (Florida) | Primary |
Entity Name | Shoreline Psychological Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093257982 PECOS PAC ID: 7214397108 Enrollment ID: O20230725000341 |
Mailing Address | Practice Location Address |
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Michael C Coffman, PSYD 146 2nd St N Ste 305, Saint Petersburg, FL 33701-3361 Ph: () - | Michael C Coffman, PSYD 146 2nd St N Ste 305, Saint Petersburg, FL 33701-3361 Ph: (727) 289-6583 |
Dr. Tiffany Chenneville, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9800 4th St N Ste 200, Saint Petersburg, FL 33702 Phone: 727-644-5911 | |
Tyric Lamont Drummond, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 990 62nd Ter S, Saint Petersburg, FL 33705 Phone: 727-557-6327 | |
Dr. Grace Maria Waite, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2620 5th Ave N, Saint Petersburg, FL 33713 Phone: 727-490-8811 | |
Dawn Suksanong, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2201 Central Ave, Saint Petersburg, FL 33713 Phone: 727-388-9003 Fax: 727-216-9743 | |
Jeremy Lyn Zehr, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 695 Central Ave Ste 105, Saint Petersburg, FL 33701 Phone: 727-492-2693 | |
Brett A Stone, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2130 Fairway Ave S, Saint Petersburg, FL 33712 Phone: 727-421-0460 | |
Dr. Thomas Grant Quinlan, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 300 2nd Ave South East, #83, Saint Petersburg, FL 33701 Phone: 727-906-6185 |