Doctor Name: | DR. FLORENCE SQUIRE COLEMAN |
NPI Number: | 1831101674 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 35-05-9168 |
Business Practice Address: | 4100 W 3rd St Dayton, OH - 454289000 |
Business Phone Number: | 9372686511 |
Business Fax Number: | 9372673924 |
Mailing Address: | 2735 Nantucket Rd, BEAVERCREEK |
State: | OH |
Postal Code: | 454346536 |
Phone Number: | 9374290388 |
Fax Number: | 9373200788 |
NPI Enumeration Date: | 08/12/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | 35-05-9168 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |