Individual
DR. RONALD DUANE COFFEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1045 E FRONT ST STE B4, BUCHANAN, MI 49107-8474
(269) 471-3491
(269) 471-3491
Mailing address
4195 ADMINISTRATION DR, BERRIEN SPRINGS, MI 49104-0001
(269) 471-3491
(269) 471-3491
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301012485
MI
103TC0700X
Clinical Psychologist
6301012485
MI
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
6301012485
MI
Other
Enumeration date
03/17/2006
Last updated
03/04/2011
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