Provider Demographics
NPI:1508580291
Name:COYNE, CAROLINE M
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:M
Last Name:COYNE
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 1:560 PENN CT
Mailing Address - Street 2:
Mailing Address - City:EMMAUS
Mailing Address - State:PA
Mailing Address - Zip Code:18049-2525
Mailing Address - Country:US
Mailing Address - Phone:484-665-2253
Mailing Address - Fax:
Practice Address - Street 1:560 PENN CT
Practice Address - Street 2:
Practice Address - City:EMMAUS
Practice Address - State:PA
Practice Address - Zip Code:18049-2525
Practice Address - Country:US
Practice Address - Phone:484-665-2253
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-27
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker