Individual
DR. ALEX COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
246 TAPPAN STREET, BROOKLINE, MA 02445
(617) 738-0463
Mailing address
246 TAPPAN STREET, BROOKLINE, MA 02445
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
4066
MA
103TA0700X
Adult Development & Aging Psychologist
4066
MA
103TC0700X
Clinical Psychologist
4066
MA
103TC2200X
Clinical Child & Adolescent Psychologist
4066
MA
103TF0000X
Family Psychologist
4066
MA
103TF0200X
Forensic Psychologist
4066
MA
103TH0004X
Health Psychologist
Primary
4066
MA
103TH0100X
Health Service Psychologist
4066
MA
103TP2701X
Group Psychotherapy Psychologist
4066
MA
103TS0200X
School Psychologist
4066
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W04116
BLUE CROSS BLUE SHIELD
MA
Enumeration date
05/02/2007
Last updated
09/11/2025
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