Provider Demographics
NPI:1922640309
Name:COLEMAN, CHRISTINE (PHD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:
Last Name:COLEMAN
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 1:600 PARK OFFICES DR
Mailing Address - Street 2:STE 300 # 13965
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27709-1012
Mailing Address - Country:US
Mailing Address - Phone:919-275-0386
Mailing Address - Fax:
Practice Address - Street 1:600 PARK OFFICES DR
Practice Address - Street 2:STE 300 # 13965
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27709-1012
Practice Address - Country:US
Practice Address - Phone:919-275-0386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-17
Last Update Date:2023-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5850103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling