Individual
COLLEEN COMEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2280 MARCOLA RD, SPRINGFIELD, OR 97477-2594
(541) 747-4300
Mailing address
2280 MARCOLA RD, SPRINGFIELD, OR 97477-2594
(541) 747-4300
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
3130
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500714624
—
OR
Enumeration date
08/01/2016
Last updated
06/02/2021
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