Provider Demographics
NPI:1891844858
Name:COLMAN, CATHY JOYCE (PHD)
Entity Type:Individual
Prefix:DR
First Name:CATHY
Middle Name:JOYCE
Last Name:COLMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 GROZIER RD
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-3314
Mailing Address - Country:US
Mailing Address - Phone:617-492-0726
Mailing Address - Fax:
Practice Address - Street 1:29 GROZIER RD
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-3314
Practice Address - Country:US
Practice Address - Phone:617-492-0726
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2027103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical