Provider Demographics
NPI:1679717896
Name:COYLE, CATHERINE (PHD, CTRS)
Entity Type:Individual
Prefix:PROF
First Name:CATHERINE
Middle Name:
Last Name:COYLE
Suffix:
Gender:F
Credentials:PHD, CTRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 MARPLE RD
Mailing Address - Street 2:
Mailing Address - City:BROOMALL
Mailing Address - State:PA
Mailing Address - Zip Code:19008-2044
Mailing Address - Country:US
Mailing Address - Phone:610-325-3831
Mailing Address - Fax:
Practice Address - Street 1:414 MARPLE RD
Practice Address - Street 2:
Practice Address - City:BROOMALL
Practice Address - State:PA
Practice Address - Zip Code:19008-2044
Practice Address - Country:US
Practice Address - Phone:610-325-3831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-01
Last Update Date:2009-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist