Individual
DR. ANNE COUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
16856 NE 14TH PL, BELLEVUE, WA 98008-2802
(425) 417-7242
Mailing address
16856 NE 14TH PL, BELLEVUE, WA 98008-2802
(425) 417-7242
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PSY10438
CA
103TC0700X
Clinical Psychologist
Primary
PY00001942
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY10438
CA PSYCH LICENSE INACTIVE
CA
Enumeration date
06/17/2007
Last updated
09/08/2009
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