Doctor Name: | ANNE ELIZABETH COLEMAN |
NPI Number: | 1659411643 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 6063 |
Business Practice Address: | 105 Victory Rd Baycove Early Intervention Dorchester, MA - 021223518 |
Business Phone Number: | 6173713010 |
Business Fax Number: | |
Mailing Address: | 24 Saint Rose St, Apt. 2 JAMAICA PLAIN |
State: | MA |
Postal Code: | 021303901 |
Phone Number: | 6173713010 |
Fax Number: | |
NPI Enumeration Date: | 02/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 6063 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |