Dr Ebony Denise Coleman, PHD is a
Psychologist - Forensic based in Lakeport, California. Dr Ebony Denise Coleman is licensed to practice in * (Not Available) (license number ) and her current practice location is
255 N Forbes St, Lakeport, California. She can be reached at her office (for appointments etc.) via phone at
(213) 949-0150.
NPI number for Dr Ebony Denise Coleman is 1932660347 and her current mailing address is 1072 W Peachtree St Nw Unit 7423, Atlanta, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932660347.
Healthcare Provider's Profile
| Full Name | Dr Ebony Denise Coleman |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Forensic |
|---|
| Location | 255 N Forbes St, Lakeport, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1932660347
- Provider Enumeration Date: 03/28/2019
- Last Update Date: 03/28/2019
Medical Identifiers
Medical identifiers for Dr Ebony Denise Coleman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932660347 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103TF0200X | Psychologist - Forensic | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ebony Denise Coleman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Ebony Denise Coleman, PHD
1072 W Peachtree St Nw Unit 7423,
Atlanta, GA 30357-3004
Ph: (213) 949-0150 | Dr Ebony Denise Coleman, PHD
255 N Forbes St,
Lakeport, CA 95453-4759
Ph: (213) 949-0150 |
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