Angela Renee Coleman, M.S.CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Branch, AR
NPI 1164773008 · NPPES record last updated Oct 1, 2012
Key facts
- NPI
- 1164773008
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP#1000 (AR)
- Practice address
- 3010 Highway 22 E
Suite a
Branch, AR 72928-9648 - Phone
- (479) 965-2191
- Fax
- (479) 965-2723
- NPI assigned
- Oct 1, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP#1000 | AR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guy Fenter Education Service Cooperative | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP#1000 | AR | Yes |
Addresses
Primary practice location
3010 Highway 22 E
Suite a
Branch, AR 72928-9648
Mailing address
3317 Royal Scots Way
Fort Smith, AR 72908-9327
Phone (479) 646-6560
Other names
- Angie Renee Coleman
Other providers in Branch, AR
- 4 Flames Counseling Center LLC
- County Line School District
- Guy Fenter Education Service Cooperative
- Rebekah Anne Lyle
- Abigail Kathryn McGuire
- Desire Nicole Osborne
All providers in Branch, AR · Speech-Language Pathologist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.