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COFFMAN NEUROPSYCHOLOGICAL SERVICES LLC NPI 1922158831


NPI Information

NPI: 1922158831
Provider Name: COFFMAN NEUROPSYCHOLOGICAL SERVICES, LLC
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
76 BEDFORD ST STE 17
LEXINGTON, MA
ZIP 02420
Phone: (781) 863-1360
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COFFMAN NEUROPSYCHOLOGICAL SERVICES, LLC is a clinical neuropsychologist in Lexington, MA. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. COFFMAN NEUROPSYCHOLOGICAL SERVICES, LLC NPI is 1922158831. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

76 BEDFORD ST STE 17
LEXINGTON, MA
ZIP 02420-640
Phone: (781) 863-1360
Fax: (781) 863-1366

The provider's authorized official is Hugh Coffman .
The authorized official title is Director and has the following contact phone number (781) 863-1360.

The enumeration date for this NPI number is 1/11/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103G00000XClinical Neuropsychologist2814MASSACHUSETTSYes
2103T00000XPsychologist2814MASSACHUSETTSX
3103TB0200XPsychologistCognitive & Behavioral2814MASSACHUSETTSX
4103TC0700XPsychologistClinical2814MASSACHUSETTSX
5103TC2200XPsychologistClinical Child & Adolescent2814MASSACHUSETTSX
6103TF0000XPsychologistFamily2814MASSACHUSETTSX
7103TH0100XPsychologistHealth Service2814MASSACHUSETTSX
8103TM1800XPsychologistIntellectual and Developmental Disabilities2814MASSACHUSETTSX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W10472OTHERMASSACHUSETTSBCBSMA GROUP PROVIDER #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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