NPI Profile for Dr EBONY D COLEMAN in LAKEPORT, CA.
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Forensic |
103TF0200X | 62 | Psychologist, Clinical | |
Mental Health |
101YM0800X | |||
Psychologist |
103T00000X | 62 | Psychologist, Clinical |
| NPI Number | 1932660347 |
|
| Status | Active | |
| Credentials | PHD | |
| Entity | Individual | |
| Enumeration date | 03/28/2019 | |
| Last updated | 03/28/2019 - About 7 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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EBONY D COLEMAN
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