Individual
MISS ROXSANNA COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD ED-TLLP
Contact information
Practice address
2727 2ND AVE STE 123A, DETROIT, MI 48201-2680
(313) 462-4888
Mailing address
165 E GRAND BLVD APT B, DETROIT, MI 48207-4038
(313) 971-2410
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6352000654
MI
171M00000X
Case Manager/Care Coordinator
—
MI
247200000X
Other Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/18/2016
Last updated
02/10/2022
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