| Doctor Name: | DR. MONIQUE N. COLEMAN |
| NPI Number: | 1154654366 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | PSY003313 |
| Business Practice Address: | 23 Eastbrook Bnd Ste 200 Peachtree City, GA - 302691554 |
| Business Phone Number: | 7708658535 |
| Business Fax Number: | |
| Mailing Address: | Po Box 101, FAYETTEVILLE |
| State: | GA |
| Postal Code: | 302140101 |
| Phone Number: | 7708658535 |
| Fax Number: | |
| NPI Enumeration Date: | 09/08/2009 |
| NPI Last Update Date: | 11/01/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | PSY003313 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |