Provider Demographics
NPI:1740400621
Name:COYLE, DENISE MARIE (LMFT)
Entity Type:Individual
Prefix:MISS
First Name:DENISE
Middle Name:MARIE
Last Name:COYLE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4554 44TH ST NE
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98422-2454
Mailing Address - Country:US
Mailing Address - Phone:253-988-6435
Mailing Address - Fax:
Practice Address - Street 1:MADIGAN ( DEPT OF PSYCHIATRY)
Practice Address - Street 2:9040A FITZSIMMONS AVE.
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98431
Practice Address - Country:US
Practice Address - Phone:253-968-4621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2010-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF 60060685106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist