DR. ALLEN RAND COLEMAN PHD
Clinical Neuropsychologist
Phoenixville, Pennsylvania
Provider NPI: 1538113329
Provider Information:DR. ALLEN RAND COLEMAN PHD
Gender: M
Practice Location:
865 MAIN ST PHOENIXVILLE, PA 19460 US
Tel: 610-716-4334 Fax: --
Business Mailing Address:
512 GAY ST PHOENIXVILLE, PA 19460 US
Tel: 610-415-0884 Fax: --
Entity Type: Individual
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | WI | 2031-057 |
Y | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | PA | PS015165 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1012697640001 | PA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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