Provider Demographics
NPI:1265089908
Name:COLEMAN, CATHERINE BAER (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:BAER
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:167 PIEDMONT ST
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20186-2338
Mailing Address - Country:US
Mailing Address - Phone:571-242-2489
Mailing Address - Fax:
Practice Address - Street 1:430 E SHIRLEY AVE BLDG B
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186-3725
Practice Address - Country:US
Practice Address - Phone:540-422-7140
Practice Address - Fax:540-422-7198
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-19
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202002982235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist