Individual
DR. ALLEN RAND COLEMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
865 MAIN ST, PHOENIXVILLE, PA 19460-4420
(610) 716-4334
Mailing address
512 GAY ST, PHOENIXVILLE, PA 19460-3816
(610) 415-0884
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
2031-057
WI
103G00000X
Clinical Neuropsychologist
Primary
PS015165
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012697640001
—
PA
Enumeration date
05/19/2006
Last updated
07/08/2007
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