Organization
COLLINS, COLLINS, & TAVORMINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS MICHAEL COLLINS PH.D. (CLINICAL DIRECTOR)
(570) 424-5477
Entity
Organization
Contact information
Practice address
19 S 6TH ST, STROUDSBURG, PA 18360-2001
(570) 424-5477
(570) 424-5311
Mailing address
19 S 6TH ST, STROUDSBURG, PA 18360-2001
(570) 424-5477
(570) 424-5311
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS-005358-L
PA
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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