Provider Demographics
NPI:1437216595
Name:COLEMAN, SUSAN BETH (MA)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:BETH
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4410 ARAPAHOE AVE
Mailing Address - Street 2:SUITE 140
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-1193
Mailing Address - Country:US
Mailing Address - Phone:720-938-9554
Mailing Address - Fax:303-474-3032
Practice Address - Street 1:4410 ARAPAHOE AVE
Practice Address - Street 2:SUITE 140
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-1193
Practice Address - Country:US
Practice Address - Phone:720-938-9554
Practice Address - Fax:303-474-3032
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-01
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health