Individual
DR. JENNIFER COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
SUITE W-1683, 27130 TELEGRAPH RD., QUANTICO, VA 22134
(501) 987-7338
Mailing address
SUITE W-1683, 27130 TELEGRAPH RD., QUANTICO, VA 22134
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
612
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
612
BOARD OF PSYCHOLOGY
WY
Enumeration date
04/09/2015
Last updated
05/11/2023
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