Provider Demographics
NPI:1306835665
Name:COYLE, VALERIE (MSW)
Entity Type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:
Last Name:COYLE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-4704
Mailing Address - Country:US
Mailing Address - Phone:508-872-7065
Mailing Address - Fax:
Practice Address - Street 1:963 WORCESTER RD
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-5228
Practice Address - Country:US
Practice Address - Phone:508-872-7065
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10235241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1033890OtherBEACON HEALTH STRATEGIES
MA218812OtherUNITED BEHAVIORAL HEALTH
MAP06756OtherBLUE CROSS
MA459479OtherTUFTS
MA2174112OtherCIGNA BEHAVIORAL HEALTH
MA550010004938OtherPACIFICARE
MA2174112OtherCIGNA BEHAVIORAL HEALTH