Organization
COFFMAN NEUROPSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUGH COFFMAN PH.D. (DIRECTOR)
(781) 863-1360
Entity
Organization
Contact information
Practice address
76 BEDFORD ST STE 17, LEXINGTON, MA 02420-4640
(781) 863-1360
(781) 863-1366
Mailing address
76 BEDFORD ST STE 17, LEXINGTON, MA 02420-4640
(781) 863-1360
(781) 863-1366
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
2814
MA
103T00000X
Psychologist
2814
MA
103TB0200X
Cognitive & Behavioral Psychologist
2814
MA
103TC0700X
Clinical Psychologist
2814
MA
103TC2200X
Clinical Child & Adolescent Psychologist
2814
MA
103TF0000X
Family Psychologist
2814
MA
103TH0100X
Health Service Psychologist
2814
MA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
2814
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W10472
BCBSMA GROUP PROVIDER #
MA
Enumeration date
01/11/2007
Last updated
09/11/2025
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