Most Relevant Information
Provider Data
| NPI Number: | 1003252529 |
| Provider Name: | NICHOLE WHITE COYNE LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/13/2013 |
| Last Updated: | 07/29/2022 |
Provider Practice Location
720 OCEAN SPRAY DR
RUSKIN
FL
335702043
Practice Location Phone/Fax
| Phone: | 5613506272 |
| Fax: |
Provider Mailing Location
720 OCEAN SPRAY DR
RUSKIN
FL
335702043
Provider Mailing Phone/Fax
| Phone: | 5613506272 |
| Fax: |