Individual
DR. BRENDA COYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
50 ALBANY TPKE, SUITE 5023, CANTON, CT 06019-2516
(860) 335-5844
Mailing address
32 PHEASANT HILL RD, COLLINSVILLE, CT 06019-3041
(860) 335-5844
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002258
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060002258CT02
ANTHEM BCBS
CT
Enumeration date
03/01/2007
Last updated
07/08/2007
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