Individual
KATELYN COFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
928 JAYMOR RD STE B-150, SOUTHAMPTON, PA 18966-3853
(856) 979-5999
Mailing address
312 ROOSEVELT DR, CHERRY HILL, NJ 08002-1511
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
PS018872
PA
Other
Enumeration date
12/10/2014
Last updated
09/05/2019
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