Diane Laverne Coalson, PHD, LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

37428 Issued in TX

Practice address

16803 Turkey Point St
San Antonio, TX 78232-1828

Phone

(210) 490-2632

NPI assigned

Aug 2, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1063990976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16803 TURKEY POINT ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321828",
            "telephone_number": "210-490-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16803 TURKEY POINT ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321828",
            "telephone_number": "210-490-2632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Camino Santa Maria",
            "address_2": "Student Counseling Center",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78228",
            "country_code": "US",
            "telephone_number": "210-436-3135",
            "fax_number": "210-431-6706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COALSON",
        "first_name": "DIANE",
        "middle_name": "LAVERNE",
        "name_prefix": "Dr.",
        "credential": "PHD, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-02",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "37428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.