Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | PS016785 | PA |
Y | 103G00000X | Clinical Psychologist | PS016785 | PA |
Y | 103TC0700X | Clinical Psychologist | PS016785 | PA |
NPI | 1376860718 |
---|---|
Provider Name | Dr. Chad Coren |
First Address | Doylestown, PA 18901-4220 |
Second Address | Doylestown, PA 18901-4220 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2010 |
Last Update Date | 16/12/2010 |