Doctor Name: | CAYCE COLEMAN |
NPI Number: | 1376927111 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | |
Business Practice Address: | 825 E 3rd St Grove, OK - 743447973 |
Business Phone Number: | 9189647025 |
Business Fax Number: | 9189647024 |
Mailing Address: | 1454 E Allen Rd, Apt A1 TAHLEQUAH |
State: | OK |
Postal Code: | 744642176 |
Phone Number: | 9189641921 |
Fax Number: | 9189647024 |
NPI Enumeration Date: | 07/10/2015 |
NPI Last Update Date: | 07/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |