Coleman, Wilma Gordon
Coleman, Wilma Gordon is an sole proprietor health care provider with primary practice located at 11 Mountain Ave Ste 101 , Bloomfield CT 06002-2343. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Coleman, Wilma Gordon can be contacted via phone (860) 286-0100.Contact Information
Primary practice address
11 Mountain Ave Ste 101
Bloomfield CT 06002-2343
Phone: (860) 286-0100
Fax: (860) 882-1989
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 001307 | Connecticut |
Profile Details
| NPI number | 1629282751 |
|---|---|
| LBN Legal business name | Coleman, Wilma Gordon |
| Credentials | MA, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1629282751 | NPPES |
| Connecticut | Other | 7342824 | AETNA PIN |
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