Individual
MS. WENDY COFFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
700 INDEPENDENCE CIRCLE, SUITE 3D INDEPENDENCE THERAPY CENTER, VIRGINIA BEACH, VA 23455
(757) 473-8533
(757) 456-0616
Mailing address
3340 GLEN EDEN QUAY, VIRGINIA BEACH, VA 23452
(757) 340-8888
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1941
NC
103TC0700X
Clinical Psychologist
Primary
0810001062
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7703953
—
VA
Enumeration date
05/25/2006
Last updated
05/19/2009
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