Doctor Name: | ANGELA RENEE COLEMAN |
NPI Number: | 1164773008 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.CCC-SLP |
License Number: | SP#1000 |
Business Practice Address: | 3010 Highway 22 E Suite A Branch, AR - 729289648 |
Business Phone Number: | 4799652191 |
Business Fax Number: | 4799652723 |
Mailing Address: | 3317 Royal Scots Way, FORT SMITH |
State: | AR |
Postal Code: | 729089327 |
Phone Number: | 4796466560 |
Fax Number: | 4799652723 |
NPI Enumeration Date: | 10/01/2012 |
NPI Last Update Date: | 10/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP#1000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |