| NPI | 1770114951 |
|---|---|
| Former Legal Business Name | LISA W. COYNE, PHD LLC |
| Entity Type | Organization |
| Authorized Contact | LISA W COYNE Director 401-829-8491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-01-28 |