Heather Coakley is a Psychologist in Tustin, California. Heather Coakley practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Heather Coakley is 1588861900. The last update date is 2021-11-30.
Heather Coakley's current location address is 1421 Edinger Ave Ste D, Tustin, California. You can contact this provider via phone number 7145428999. The mailing address for Heather Coakley is 1421 Edinger Ave Ste D, Tustin, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Heather Coakley |
|---|---|
| Address | 1421 Edinger Ave Ste D, Tustin, California |
| Phone Number | 7145428999 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1588861900 |
|---|---|
| Provider Enumeration Date | 2007-06-29 |
| Last Updated Date | 2021-11-30 |
Provider Mailing Address Detail
| Address | 1421 Edinger Ave Ste D |
|---|---|
| City | Tustin |
| State | California (CA) |
| Post Code | 927806287 |
| Phone Number | 7145428999 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSY21078 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 471452631 | CA | PSYCHOLOGIST |
Post Comment/ Review Below
What is the unique provider identifier assigned to Heather Coakley?
The Heather Coakley has been issued the NPI (National Provider Identifier) 1588861900 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Heather Coakley?
The Heather Coakley is physically situated at 1421 Edinger Ave Ste D, in the city of Tustin, state of CA, with the postal code 927806287.
What is Heather Coakley's specialized field of practice, and what is the corresponding taxonomy classification code?
The Heather Coakley's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
On what date did the Heather Coakley receive its 1588861900 assignment from the Centers for Medicare & Medicaid Services?
The Heather Coakley was assigned its 1588861900 by the Centers for Medicare & Medicaid Services on 2007-06-29.
As of what date was the information pertaining to Heather Coakley, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Heather Coakley, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-11-30.
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