Individual
MICHAEL COYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 A SUNSET AVENUE, PUTNAM, CT 06260
(860) 928-2119
(860) 928-4079
Mailing address
PO BOX 158, WOODSTOCK, CT 06281-0158
(860) 928-2119
(860) 928-4079
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
103T00000X
CT
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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