Organization
COYNE OPERATED PSYCHOTHERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN COYNE PSYD (PRESIDENT)
(415) 322-3018
Entity
Organization
Contact information
Practice address
200 TAMAL PLZ STE 130, CORTE MADERA, CA 94925-1195
(415) 322-3018
Mailing address
769 CENTER BLVD, PMB 125, FAIRFAX, CA 94930-1764
(415) 322-3018
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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