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NPI Code Detail

MEDICARE: DR. DAVID MICHAEL COE PH.D.

MEDICARE:  DR. DAVID MICHAEL COE  PH.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
1101YM0800XMental Health CounselorE0001896OH
2103TC0700XClinical Psychologist5909OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000363003OTHEROHANTHEM BLUE SHIELD
2000000363003OTHEROHUNICARE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932100260
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID MICHAEL COE PH.D.
Provider Business Mailing Address
First Line : 438 MAIN ST
Second Line :
City : CONNEAUT
State : OH
Zip : 44030-2609
Country : US
Telephone Number : 440-593-2630
Fax Number : 440-599-9074
Provider Business Practice Location Address
First Line : 438 MAIN ST
Second Line :
City : CONNEAUT
State : OH
Zip : 44030-2609
Country : US
Telephone Number : 440-593-2630
Fax Number : 440-599-9074
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 12/07/2007

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Directions to “ DR. DAVID MICHAEL COE PH.D.” Practice Location

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