Provider Demographics
NPI:1043485105
Name:COANE, JAMES (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:COANE
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 S STATE ST
Mailing Address - Street 2:THE STOCKING WORKS
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1997
Mailing Address - Country:US
Mailing Address - Phone:215-504-4505
Mailing Address - Fax:215-504-4104
Practice Address - Street 1:301 S STATE ST
Practice Address - Street 2:THE STOCKING WORKS
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1997
Practice Address - Country:US
Practice Address - Phone:215-504-4505
Practice Address - Fax:215-504-4104
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS002947-L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA129356Medicare PIN