Provider Demographics
NPI:1932124856
Name:DR JAMES COANE
Entity Type:Organization
Organization Name:DR JAMES COANE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:I
Authorized Official - Last Name:COANE
Authorized Official - Suffix:
Authorized Official - Credentials:PSY D
Authorized Official - Phone:215-504-4505
Mailing Address - Street 1:301 S STATE STREET
Mailing Address - Street 2:SUITE S101
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940
Mailing Address - Country:US
Mailing Address - Phone:215-504-4505
Mailing Address - Fax:215-504-4104
Practice Address - Street 1:301 S STATE STREET
Practice Address - Street 2:SUITE S101
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940
Practice Address - Country:US
Practice Address - Phone:215-504-4505
Practice Address - Fax:215-504-4104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS002947L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA129356Medicare ID - Type Unspecified