Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CASEY RAY COLEMAN, EDD
ActiveSchool Psychologist · SUPERIOR, WI
Registration Details
- NPI Number
- 1477139467
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 22, 2021 (5.0860172981123 yrs)
- Last Updated
- Mar 22, 2021
- License
-
213068 (WI)
Practice Information
- Address
-
1619 E 5TH STSUPERIOR, WI, 548803432Browse WI providers · Browse ZIP 54880
- Phone
- 7157182163
- Fax
- 7157182163
- Primary Specialty
-
School Psychologist
103TS0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.