Individual
DR. MYKELLE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
330 POST RD, DARIEN, CT 06820-3600
(203) 202-7654
Mailing address
330 POST RD, DARIEN, CT 06820-3600
(203) 202-7654
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
004174
CT
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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