Individual
DR. JOHN JOSEPH COUGHLIN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
5525 TWIN KNOLLS RD, SUITE 327, COLUMBIA, MD 21045-3266
(410) 992-9149
(410) 992-9921
Mailing address
5525 TWIN KNOLLS RD, SUITE 327, COLUMBIA, MD 21045-3266
(410) 992-9149
(410) 992-9921
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
015740-1
NY
103T00000X
Psychologist
Primary
04017
MD
103T00000X
Psychologist
PSY1000581
DC
Other
Enumeration date
01/14/2011
Last updated
01/14/2011
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