Individual
GISELLE J. COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
323 N PRAIRIE AVE, INGLEWOOD, CA 90301-4502
(310) 846-2100
(310) 846-2139
Mailing address
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230-4820
(310) 390-6612
(310) 398-5690
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0810005035
VA
103TC0700X
Clinical Psychologist
Primary
PSY 26889
CA
Other
Enumeration date
07/16/2014
Last updated
05/05/2015
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