Tracey Lynn Coleman, PhD
Psychologist, Clinical in Bowie, MD. Individual provider (NPI-1).
NPI number1740465434
StatusActive
Last updated in NPPESFeb 14, 2025
Details
- NPI
- 1740465434
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Tracey Lynn Coleman
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 1, 2008
- Last updated
- Feb 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 05633 | MD | Yes |
Other names
- Tracey Lynn Phillips (Former Name)
Practice location
10400 Shaker Drive#307
Bowie, MD 21150
Phone 410-929-7225
Mailing address
10422 Spencer CourtBowie, MD 20721
Phone 443-547-4074
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