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Organization

DR. PATRICIA COUGHLIN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PATRICIA COUGHLIN PH.D. (CLINICAL PSYCHOLOGIST)
(518) 859-3960
Entity
Organization

Contact information

Practice address
48 COLUMBIA ST STE 2, ALBANY, NY 12207-2746
(518) 859-3960
Mailing address
48 COLUMBIA ST STE 2, ALBANY, NY 12207-2746
(518) 859-3960

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
010001
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010001
NY STATE LICENSE
NY
Enumeration date
10/28/2014
Last updated
10/28/2014
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