Judith Ann Coyle, LMHC,LMFT
Individual provider Active NPI Mental Health Counselor · South Weymouth, MA
NPI 1497848907 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1497848907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 1077 (MA)
- Practice address
- 172 Union Street
South Weymouth, MA 02190-2853 - Phone
- (781) 337-8409
- Fax
- (508) 895-9990
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 538 | MA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1077 | MA | Yes |
| Mental Health Counselor | 101YM0800X | 538 | MA |
Addresses
Primary practice location
172 Union Street
South Weymouth, MA 02190-2853
Mailing address
172 Union Street
South Weymouth, MA 02190-2853
Phone (781) 337-8409
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LM0008 | Other | MA | BC/BS |
| 768530 | Other | MA | TUFTS |
Other providers in South Weymouth, MA
- Jeanne M. Colton
- Daniel J Corrigan
- J. Gregory Corrodi
- Becky Cosgrove
- Clayland F Cox
- George J Cuchural Jr.
- Stephanie Cate Cully
- Mary Cunniff
- Katherine M Cushing
- CVS Pharmacy Inc
All providers in South Weymouth, MA · Mental Health Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.