Individual
DR. MARYROSE C COINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
600 WORCESTER RD, STE 501, FRAMINGHAM, MA 01702-5303
(508) 620-9948
Mailing address
126 NEWTON ST, MARLBOROUGH, MA 01752-2876
(508) 620-9948
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2665
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W0295001
MEDICARE PTAN
MA
Enumeration date
10/11/2006
Last updated
12/11/2015
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