DEMETRI BEAU COFFIN PSY.D.
NPI 1871668749
Psychologist - Clinical in San Diego, CA

Active since November 22, 2006
1094 CUDAHY PL, STE. #314, SAN DIEGO, CA 92110(619) 276-8112(619) 276-8230 Get Directions Write a Review

NPPES record last updated: March 17, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Demetri Beau Coffin Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEMETRI BEAU COFFIN PSY.D. (NPI 1871668749) is an individual clinical provider in San Diego, California, licensed in California (PSY 23484) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1871668749
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDEMETRI BEAU COFFINCredential: PSY.D.
Location Address1094 CUDAHY PL, STE. #314San Diego, CA 92110-3931
Mailing Address1094 Cudahy Pl, Ste. #314San Diego, CA 92110-3931 · (619) 944-0307 · Fax (619) 276-8230
Fax(619) 276-8230
Sole ProprietorNo
Enumeration DateNovember 22, 2006
Last NPPES UpdateMarch 17, 2011
NPI 1871668749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY 23484
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1094 CUDAHY PL, San Diego, CA 92110

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1094 CUDAHY PL, SUITE 314
SAN DIEGO, CA 92110
Social Worker (Clinical)
1094 CUDAHY PL, 314
SAN DIEGO, CA 92110
Social Worker (Clinical)
1094 CUDAHY PL, SUITE 314
SAN DIEGO, CA 92110
Marriage & Family Therapist
1094 CUDAHY PL
SAN DIEGO, CA 92110
Registered Nurse (Psychiatric/Mental Health)
1094 CUDAHY PL, SUIET 314
SAN DIEGO, CA 92110
Registered Nurse (Psychiatric/Mental Health, Adult)
1094 CUDAHY PL, SUITE 314
SAN DIEGO, CA 92110
Registered Nurse (Psychiatric/Mental Health)
1094 CUDAHY PL, SUITE 314
SAN DIEGO, CA 92110
Psychologist
1094 CUDAHY PL, SUITE 314
SAN DIEGO, CA 92110

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871668749, enumerated as an "individual" on November 22, 2006.

The provider is located at 1094 CUDAHY PL STE. #314 SAN DIEGO, CA 92110 and the phone number is (619) 276-8112.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.