Coleman, David J
Coleman, David J is an sole proprietor health care provider with primary practice located at 822 Portage Trl , Cuyahoga Falls OH 44221-3053. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Coleman, David J can be contacted via phone (330) 923-9344.Contact Information
Primary practice address
822 Portage Trl
Cuyahoga Falls OH 44221-3053
Phone: (330) 923-9344
Fax: (866) 248-1103
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 4072 | Ohio |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 4072 | Ohio |
Profile Details
| NPI number | 1750379384 |
|---|---|
| LBN Legal business name | Coleman, David J |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 7th, 2005 |
| Last updated | Jun 14th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750379384 | NPPES |
| Ohio | MEDICAID | 0750647 |
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