Provider Demographics
NPI:1720413560
Name:COLEMAN-CAREW, DE'NEAN MECHELE (PHD)
Entity Type:Individual
Prefix:DR
First Name:DE'NEAN
Middle Name:MECHELE
Last Name:COLEMAN-CAREW
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:PO BOX 5996
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93539-5996
Mailing Address - Country:US
Mailing Address - Phone:661-618-7957
Mailing Address - Fax:
Practice Address - Street 1:44905 10TH ST W
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-2313
Practice Address - Country:US
Practice Address - Phone:661-618-7957
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-11
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 23425103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist