Doctor Name: | DENISE INGA COLEMAN |
NPI Number: | 1669459343 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | Q0000306 |
Business Practice Address: | 300 Tuskegee Blvd Dover Afb, DE - 199025300 |
Business Phone Number: | 3026772711 |
Business Fax Number: | |
Mailing Address: | 104 Richardson Cir, DOVER |
State: | DE |
Postal Code: | 199016314 |
Phone Number: | 3026985460 |
Fax Number: | |
NPI Enumeration Date: | 12/23/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | Q0000306 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |