MEDICARE: JULIA COLEMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	18.008506-TEMP	CT

General Provider Information

NPI Number	:	1396672333
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA COLEMAN

Provider Business Mailing Address
First Line	:	559 N STONE ST
Second Line	:
City	:	WEST SUFFIELD
State	:	CT
Zip	:	06093-3214
Country	:	US
Telephone Number	:	860-937-3393
Fax Number	:

Provider Business Practice Location Address
First Line	:	304 MAIN ST # A
Second Line	:
City	:	FARMINGTON
State	:	CT
Zip	:	06032-2985
Country	:	US
Telephone Number	:	860-674-1824
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2026
Last Update Date	:	05/05/2026

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Directions to “ JULIA COLEMAN ” Practice Location

Language	Start Address	Practice Location

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