Individual
GREGORY COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., LP
Contact information
Practice address
7066 STILLWATER BLVD N, OAKDALE, MN 55128-3937
(651) 777-5222
(651) 251-5111
Mailing address
7066 STILLWATER BLVD N, OAKDALE, MN 55128-3937
(651) 777-5222
(651) 251-5111
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2932
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1011513
P1
MN
01
—
114038
UC
MN
01
—
19468
HP
MN
01
—
62-00090
UBH
MN
01
—
9H535CO
BCBS
MN
Enumeration date
08/14/2006
Last updated
07/08/2007
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