Individual
MRS. JENNIFER KING COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1717 SHIPYARD BLVD, SUITE 210, WILMINGTON, NC 28403-8019
(910) 392-7877
(910) 392-7886
Mailing address
2218 TATTERSALLS DR, WILMINGTON, NC 28403-8021
(910) 762-7888
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2808
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000297
—
NC
Enumeration date
11/29/2005
Last updated
07/08/2007
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