Individual
JENNIFER SUE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCCCSLP
Contact information
Practice address
2801 SUNSET TRL, WATERFORD, PA 16441-5503
(412) 443-3260
Mailing address
2801 SUNSET TRL, WATERFORD, PA 16441-5503
(412) 443-3260
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL007785
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MA PROVIDER #
—
PA
Enumeration date
03/11/2008
Last updated
06/09/2022
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