Individual
DR. KELLY COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
162 MAIN ST, HAMBURG, NY 14075-4917
(716) 371-1995
Mailing address
115 ANGLE RD, WEST SENECA, NY 14224-4365
(716) 432-3462
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
023269
NY
103TC0700X
Clinical Psychologist
Primary
023269
NY
Other
Enumeration date
05/26/2018
Last updated
10/24/2019
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