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General NPI Number Information
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NPI Number | 1508961293
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Entity Type | Organization
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Legal Business Name | COYLE PSYCHOLOGICAL ASSOCIATES LLC
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 123 BROADWAY
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City | MILFORD
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State | CT
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Zip | 06460-5950
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Country | US
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Telephone | 860-942-1561
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Fax |
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Provider Business Mailing Address
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Address Line | 123 BROADWAY
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City | MILFORD
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State | CT
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Zip | 06460-5950
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Country | US
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Telephone | 860-942-1561
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR, PH,D.
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Name | ANDREA COYLE
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Credential | PH, D,
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Telephone | 860-928-2119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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