Provider Demographics
NPI:1346653326
Name:ALICIA A. COLEMAN, PH.D PLLC
Entity Type:Organization
Organization Name:ALICIA A. COLEMAN, PH.D PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS PHD
Authorized Official - Phone:214-435-6217
Mailing Address - Street 1:12700 HILLCREST RD
Mailing Address - Street 2:SUITE 176
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2033
Mailing Address - Country:US
Mailing Address - Phone:214-435-6217
Mailing Address - Fax:214-292-8516
Practice Address - Street 1:600 E JOHN CARPENTER FWY STE 287
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-4199
Practice Address - Country:US
Practice Address - Phone:972-827-8286
Practice Address - Fax:214-292-8516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-06
Last Update Date:2018-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36577103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty