Waterford Counseling and Psychological Services, PC

NPI #1104250067 in Aurora, Illinois

Provider Information

NPI Number: 1104250067
Entity Type: Organization
Organization Name: Waterford Counseling and Psychological Services, PC
Primary Specialty: Counselor - Professional
Enumeration Date: Aug 28, 2013
Last Updated: Dec 15, 2023

Practice Location

Address: 1256 WATERFORD DR
Address 2: SUITE 140
City: Aurora
State: Illinois
ZIP Code: 60504-4510
Phone: (630) 898-5322

Authorized Official

Name: DR. GARY L COLEMAN, PSY.D.
Title: CLINICAL PSYCHOLOGIST
Phone: (630) 898-5322

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary
Psychologist	103T00000X
Psychologist - Clinical — Clinical	103TC0700X
Social Worker - Clinical — Clinical	1041C0700X

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