Trevor N Coyle

Individual provider Active NPI Clinical Psychologist · Honolulu, HI

NPI 1003485327 · NPPES record last updated Jun 21, 2021

Key facts

NPI
1003485327
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
PY61117378 (WA)
Practice address
459 Patterson Rd
Honolulu, HI 96819-1522
Phone
(808) 433-0600
NPI assigned
Jun 21, 2021
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PY61117378WAMDClinical Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY61117378 WA Yes

Addresses

Primary practice location

459 Patterson Rd
Honolulu, HI 96819-1522

Mailing address

6162 NE Radford Dr Apt 1312
Seattle, WA 98115-7982
Phone (817) 454-9284

Other providers in Honolulu, HI

All providers in Honolulu, HI · Clinical Psychologist in Hawaii

Sources for this page

Verify at the official NPI Registry.