Individual
DR. JASON E. COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
85 CRESCENT AVE, PASSAIC, NJ 07055-2437
(973) 312-2276
Mailing address
391 WOODLAND PL, SOUTH ORANGE, NJ 07079-2448
(862) 205-9131
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00693100
NJ
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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