Organization
COLEMAN SPEECH & LANGUAGE, P.C.
Active
Other names
Coleman Speech & Language Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY R COLEMAN M.S., CCC/SLP (SPEECH LANGUAGE PATHOLOGIST)
(662) 537-7628
Entity
Organization
Contact information
Practice address
1662 DEBRA DR, GREENVILLE, MS 38703-7817
(662) 537-7628
(662) 537-7887
Mailing address
1662 DEBRA DR, GREENVILLE, MS 38703-7817
(662) 537-7628
(662) 537-7887
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#3014
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04433096
—
MS
05
—
186388721
—
AR
Enumeration date
02/03/2015
Last updated
02/03/2015
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