Individual
DEMETRI BEAU COFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1094 CUDAHY PL, STE. #314, SAN DIEGO, CA 92110-3931
(619) 276-8112
(619) 276-8230
Mailing address
1094 CUDAHY PL, STE. #314, SAN DIEGO, CA 92110-3931
(619) 944-0307
(619) 276-8230
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
PSY 23484
CA
Other
Enumeration date
11/22/2006
Last updated
03/17/2011
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