Individual provider · Type 1 NPI
Ebony Denise Coleman, PhD
Forensic Psychologist · Lakeport, CA
NPI number
1932660347
Active
Practice location
255 N Forbes St
Lakeport, CA 95453-4759
Mailing address
1072 W Peachtree St NW Unit 7423
Atlanta, GA 30357-3004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Psychologist | 103T00000X | None listed |
| Forensic Psychologist Primary | 103TF0200X | None listed |
Forensic Psychologist: A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
About NPI 1932660347
Ebony Denise Coleman, PhD's National Provider Identifier is 1932660347, issued on Mar 28, 2019. The primary taxonomy on file is Forensic Psychologist (103TF0200X), and the practice location is in Lakeport, CA. The record was last updated on Mar 28, 2019.