Healthcare Provider Details

I. General information

NPI: 1437623584
Provider Name (Legal Business Name): AMBER LYNN COLEMAN MS, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2019
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E PRATT ST STE 2530
BALTIMORE MD
21202-1074
US

IV. Provider business mailing address

1329 RIDDLE AVE APT 8
MORGANTOWN WV
26505-2799
US

V. Phone/Fax

Practice location:
  • Phone: 855-485-8853
  • Fax:
Mailing address:
  • Phone: 304-730-5874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP-2444
License Number StateWV
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number08524
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: