Whalio Doctors

NPI 1295415024

Jason E. Coleman, PSYD

Practitioner Clinical Psychologist Passaic, NJ

Practice location

Address
85 Crescent Ave, Passaic, NJ 07055-2437
Phone
(973) 312-2276
Mailing address
391 Woodland Pl, South Orange, NJ 07079-2448

Registered specialties

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 35SI00693100 (NJ)

Registry record

NPI
1295415024
Entity type
Individual
Sex (as registered)
Male
NPI issued
18 Jul 2023
Record last updated
18 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.