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NPI Code Detail

MEDICARE: DR. DELICE COFFEY ED.D.

MEDICARE:  DR. DELICE  COFFEY  ED.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist1653NC

General Provider Information

NPI Number : 1396965299
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DELICE COFFEY ED.D.
Provider Business Mailing Address
First Line : 1110 SCHOLASTIC CIR
Second Line :
City : DURHAM
State : NC
Zip : 27713-6580
Country : US
Telephone Number : 704-201-2460
Fax Number :
Provider Business Practice Location Address
First Line : 4819 EMPEROR BLVD STE 400
Second Line :
City : DURHAM
State : NC
Zip : 27703-5420
Country : US
Telephone Number : 704-201-2460
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2007
Last Update Date : 12/07/2021

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Directions to “ DR. DELICE COFFEY ED.D.” Practice Location

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