Individual
MS. MICHELLE LEOMA COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2802 PAPERMILL RD, POST ACUTE CARE CENTER, WYOMISSING, PA 19610-1065
(484) 628-2542
(484) 628-2688
Mailing address
2802 PAPERMILL RD, POST ACUTE CARE CENTER, WYOMISSING, PA 19610-1065
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102889094
—
PA
01
—
334217
MEDICARE PTAN
PA
Enumeration date
11/18/2011
Last updated
09/27/2016
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