Individual
MEGHAN COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D, BCBA
Contact information
Practice address
850 SOUTHAMPTON AVE, NORFOLK, VA 23510-1021
(757) 668-4673
Mailing address
DEPT 781625, DETROIT, MI 48278-1625
(614) 355-8004
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0133002734
VA
103TC0700X
Clinical Psychologist
0810007966
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/01/2020
Last updated
10/14/2022
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