Provider Demographics
NPI:1356922322
Name:COLEMAN, JAUMEIKO JHAUNETTE (PHD)
Entity type:Individual
Prefix:DR
First Name:JAUMEIKO
Middle Name:JHAUNETTE
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 1:4911 DURLEY LN SE
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30082-5049
Mailing Address - Country:US
Mailing Address - Phone:240-393-7410
Mailing Address - Fax:
Practice Address - Street 1:3160 NORTHSIDE PKWY NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30327-1598
Practice Address - Country:US
Practice Address - Phone:404-233-5332
Practice Address - Fax:844-634-1398
Is Sole Proprietor?:No
Enumeration Date:2021-04-20
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP011397235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist