Provider Demographics
NPI:1043427735
Name:COYLE, JANET E (LPC)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:E
Last Name:COYLE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11000 LINCOLN DR W
Mailing Address - Street 2:SUITE 5
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-3431
Mailing Address - Country:US
Mailing Address - Phone:856-985-4300
Mailing Address - Fax:856-985-4313
Practice Address - Street 1:11000 LINCOLN DR W
Practice Address - Street 2:SUITE 5
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-3431
Practice Address - Country:US
Practice Address - Phone:856-985-4300
Practice Address - Fax:856-985-4313
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00094000101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional