| Doctor Name: | MR. PAUL D. COLEMAN |
| NPI Number: | 1831232487 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S., C.R.C., N.C.C. |
| License Number: | 003813 |
| Business Practice Address: | 71 Main St # 73 Silver Creek, NY - 141361446 |
| Business Phone Number: | 7169474166 |
| Business Fax Number: | 7169474166 |
| Mailing Address: | Po Box 720, DERBY |
| State: | NY |
| Postal Code: | 140470720 |
| Phone Number: | 7169474166 |
| Fax Number: | 7169474166 |
| NPI Enumeration Date: | 02/14/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 003813 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |