Provider Demographics
NPI:1609154194
Name:COLEMAN, ALISON IRENE
Entity type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:IRENE
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:ALI
Other - Middle Name:IRENE
Other - Last Name:COLEMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1245 E PRIVET DR
Mailing Address - Street 2:#3-432
Mailing Address - City:COTTONWOOD HEIGHTS
Mailing Address - State:UT
Mailing Address - Zip Code:84121-7612
Mailing Address - Country:US
Mailing Address - Phone:801-244-2728
Mailing Address - Fax:
Practice Address - Street 1:195 W 7200 S
Practice Address - Street 2:
Practice Address - City:MIDVALE
Practice Address - State:UT
Practice Address - Zip Code:84047-3703
Practice Address - Country:US
Practice Address - Phone:801-322-4257
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-01
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor