Individual
DR. MONIQUE N. COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
23 EASTBROOK BND STE 200, PEACHTREE CITY, GA 30269-1554
(770) 865-8535
Mailing address
PO BOX 101, FAYETTEVILLE, GA 30214-0101
(770) 865-8535
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
PSY003313
GA
103TC0700X
Clinical Psychologist
Primary
PSY003313
GA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY003313
GA
103TF0000X
Family Psychologist
PSY003313
GA
103TF0200X
Forensic Psychologist
PSY003313
GA
103TP2701X
Group Psychotherapy Psychologist
PSY003313
GA
Other
Enumeration date
09/08/2009
Last updated
11/01/2012
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