Provider Demographics
NPI:1619187721
Name:COYLE, SUZANNE MURPHY (PHD, LMFT)
Entity Type:Individual
Prefix:PROF
First Name:SUZANNE
Middle Name:MURPHY
Last Name:COYLE
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3941GABLE LN CIR #727
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46228-6344
Mailing Address - Country:US
Mailing Address - Phone:317-931-2349
Mailing Address - Fax:317-931-2399
Practice Address - Street 1:1050 W 42ND ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46208-3301
Practice Address - Country:US
Practice Address - Phone:317-931-2349
Practice Address - Fax:317-931-2393
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2009-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0003101YP1600X
KY0125106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist