Provider Demographics
NPI:1912003500
Name:COLEMAN, BARBARA J (LSW)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:J
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1616 WALNUT ST
Mailing Address - Street 2:SUITE 816
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-5313
Mailing Address - Country:US
Mailing Address - Phone:215-808-6021
Mailing Address - Fax:215-587-2110
Practice Address - Street 1:1616 WALNUT ST
Practice Address - Street 2:SUITE 816
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-5313
Practice Address - Country:US
Practice Address - Phone:215-808-6021
Practice Address - Fax:215-587-2110
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW014400-L101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health