Doctor Name: | DR. NANCY J COLEMAN |
NPI Number: | 1720041940 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | PSY00100676 |
Business Practice Address: | 16 Twin Pond Rd Topsham, ME - 040865150 |
Business Phone Number: | 2077258514 |
Business Fax Number: | |
Mailing Address: | 16 Twin Pond Rd, TOPSHAM |
State: | ME |
Postal Code: | 040865150 |
Phone Number: | 2077258514 |
Fax Number: | |
NPI Enumeration Date: | 04/10/2006 |
NPI Last Update Date: | 04/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY00100676 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |