Individual
ELIZABETH JEAN COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1826 VETERANS BLVD, DUBLIN, GA 31021-3620
(478) 272-1210
Mailing address
149 THE MASTERS CV, MACON, GA 31211-6005
(478) 742-9374
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
012345
NY
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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