Provider Demographics
NPI:1336880087
Name:COLEMAN, ANNA STEWART
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:STEWART
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 1:172 ALSACE ST APT 3
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03102-3086
Mailing Address - Country:US
Mailing Address - Phone:603-361-0229
Mailing Address - Fax:
Practice Address - Street 1:141 UNION ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03103-5563
Practice Address - Country:US
Practice Address - Phone:603-625-0010
Practice Address - Fax:603-625-0075
Is Sole Proprietor?:No
Enumeration Date:2022-04-06
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health