| Gary Coleman, Psy.d. & Associates | |
|
2114 Deerpath Rd Aurora IL 60506-7943 | |
| (630) 907-1735 | |
| Not Available |
| Full Name | Gary Coleman, Psy.d. & Associates |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2114 Deerpath Rd, Aurora, Illinois |
| Authorized Official Name and Position | Gary Lee Coleman (PSYCHOLOGIST) |
| Authorized Official Contact | 6309071735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Coleman, Psy.d. & Associates 2114 Deerpath Rd Aurora IL 60506-7943 Ph: (630) 907-1735 | Gary Coleman, Psy.d. & Associates 2114 Deerpath Rd Aurora IL 60506-7943 Ph: (630) 907-1735 |
| NPI Number | 1114181971 |
|---|---|
| Provider Enumeration Date | 07/10/2008 |
| Last Update Date | 07/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114181971 | NPI | - | NPPES |
| 04523608 | Other | IL | BLUE CROSS & BLUE SHIELD |
| 1407994049 | Other | IL | NPI TYPE I |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071-006641 (Illinois) | Primary |
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