Gary Coleman, Psy.D. & Associates
Psychologist, Clinical in Aurora, IL. Organization (NPI-2).
NPI number1114181971
StatusActive
Last updated in NPPESJul 10, 2008
Details
- NPI
- 1114181971
- Entity type
- Organization (NPI-2)
- Legal business name
- Gary Coleman, Psy.D. & Associates
- Organization subpart
- No
- Enumeration date
- Jul 10, 2008
- Last updated
- Jul 10, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 071-006641 | IL | Yes |
Practice location
2114 Deerpath RdAurora, IL 60506-7943
Phone 630-907-1735
Mailing address
2114 Deerpath RdAurora, IL 60506-7943
Phone 630-907-1735
Authorized official
Gary Lee Coleman
Psychologist
6309071735
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