Individual
BRIANNA S COFFINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
100 ROWLAND WAY STE 205, NOVATO, CA 94945-5041
(415) 492-4870
(415) 492-4871
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(415) 942-4870
(415) 492-4871
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY25256
STATE MEDICAL LICENSE
CA
Enumeration date
05/29/2009
Last updated
12/04/2020
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