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Individual

DR. DAVID MICHAEL COE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
438 MAIN ST, CONNEAUT, OH 44030-2609
(440) 593-2630
(440) 599-9074
Mailing address
438 MAIN ST, CONNEAUT, OH 44030-2609
(440) 593-2630
(440) 599-9074

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
E0001896
OH
103TC0700X
Clinical Psychologist
Primary
5909
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000363003
ANTHEM BLUE SHIELD
OH
05
2530523
OH
Enumeration date
08/09/2005
Last updated
12/07/2007
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