Provider Demographics
NPI:1164753356
Name:COYNER, HEATHER DAWN
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:DAWN
Last Name:COYNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8324 OHIO RIVER BLVD
Mailing Address - Street 2:
Mailing Address - City:EMSWORTH
Mailing Address - State:PA
Mailing Address - Zip Code:15202-1466
Mailing Address - Country:US
Mailing Address - Phone:412-761-0236
Mailing Address - Fax:
Practice Address - Street 1:8324 OHIO RIVER BLVD
Practice Address - Street 2:
Practice Address - City:EMSWORTH
Practice Address - State:PA
Practice Address - Zip Code:15202-1466
Practice Address - Country:US
Practice Address - Phone:412-761-0236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-27
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)