Individual
DR. BRIAN K COUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1345 N HAYWORTH AVE, #310, WEST HOLLYWOOD, CA 90046-4699
(917) 399-4927
Mailing address
1345 N HAYWORTH AVE, #310, WEST HOLLYWOOD, CA 90046-4699
(917) 399-4927
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY24018
CA
Other
Enumeration date
12/22/2010
Last updated
12/22/2010
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