Provider Demographics
NPI:1801919766
Name:COLEMAN, MARYANN HELEN (MA, CCC, SLP)
Entity type:Individual
Prefix:MRS
First Name:MARYANN
Middle Name:HELEN
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:MA, CCC, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13316 PALOMA DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-4796
Mailing Address - Country:US
Mailing Address - Phone:407-855-9194
Mailing Address - Fax:
Practice Address - Street 1:13316 PALOMA DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-4796
Practice Address - Country:US
Practice Address - Phone:407-855-9194
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA8211235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist