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Individual

MS. STACY COYLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D., LP

Contact information

Practice address
4400 JENIFER ST NW, SUITE 280, WASHINGTON, DC 20015-2113
(202) 642-2214
(202) 244-8065
Mailing address
4400 JENIFER ST NW, SUITE 280, WASHINGTON, DC 20015-2113
(202) 642-2214
(202) 244-8065

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1000739
DC
103TC0700X
Clinical Psychologist
LP4927
MN

Other

Enumeration date
03/19/2007
Last updated
06/21/2013
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