Gary Coleman, Psy.D. & Associates in Aurora - Clinical

Gary Coleman, Psy.D. & Associates - NPI 1114181971

Gary Coleman, Psy.D. & Associates is a Clinical in Aurora, Illinois. Gary Coleman, Psy.D. & Associates practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gary Coleman, Psy.D. & Associates is 1114181971. The last update date is 2008-07-10.

Gary Coleman, Psy.D. & Associates's current location address is 2114 Deerpath Rd, Aurora, Illinois. You can contact this provider via phone number 6309071735. The mailing address for Gary Coleman, Psy.D. & Associates is 2114 Deerpath Rd, Aurora, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Gary Coleman, Psy.D. & Associates
Address 2114 Deerpath Rd, Aurora, Illinois
Phone Number 6309071735
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PSYCHOLOGI
Authorized Official Name Coleman Lee Gary
Credentials PSY. D.
Telephone Number 6309071735

NPI Number Detail

NPI Number 1114181971
Provider Enumeration Date 2008-07-10
Last Updated Date 2008-07-10

Provider Mailing Address Detail

Address 2114 Deerpath Rd
City Aurora
State Illinois (IL)
Post Code 605067943
Phone Number 6309071735
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 071-006641
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4523608 IL BLUE CROSS & BLUE SHIELD
1407994049 IL NPI TYPE I

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FAQs about Gary Coleman, Psy.D. & Associates

What is the unique 10-digit identification code issued to Gary Coleman, Psy.D. & Associates by the Centers for Medicare & Medicaid Services?

The Gary Coleman, Psy.D. & Associates has been assigned the NPI (National Provider Identifier) 1114181971 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Gary Coleman, Psy.D. & Associates?

The Gary Coleman, Psy.D. & Associates is situated at 2114 Deerpath Rd, in the city of Aurora, state of IL, with the zip code 605067943.

What is Gary Coleman, Psy.D. & Associates's specialized field of practice, and what is the corresponding taxonomy classification code?

The Gary Coleman, Psy.D. & Associates's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1114181971 to Gary Coleman, Psy.D. & Associates?

The Centers for Medicare & Medicaid Services originally issued the 1114181971 to Gary Coleman, Psy.D. & Associates on 2008-07-10.

When was the Gary Coleman, Psy.D. & Associates's information last updated?

The Gary Coleman, Psy.D. & Associates's information was last updated on 2008-07-10.

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