Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 4308 | NJ |
Y | 103T00000X | Psychologist | 4308 | NJ |
N | 103TC1900X | Counseling Psychologist | 4308 | NJ |
N | 103TH0004X | Health Psychologist |
NPI | 1104267426 |
---|---|
Provider Name | Dr. Richard Frank Coco |
First Address | Allendale, NJ 07401-1704 |
Second Address | Allendale, NJ 07401-1704 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2013 |
Last Update Date | 15/07/2013 |