Provider Demographics
NPI:1548410186
Name:COLEMAN, BARBARA LOUISE
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:LOUISE
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12700 WESTGLEN DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-4157
Mailing Address - Country:US
Mailing Address - Phone:501-225-1958
Mailing Address - Fax:
Practice Address - Street 1:12700 WESTGLEN DR
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-4157
Practice Address - Country:US
Practice Address - Phone:501-225-1958
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-19
Last Update Date:2008-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR924195155OtherDRIVER'S LICENSE