Individual
DR. THOMAS MICHAEL COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
670 DISTANT ISLAND DR, BEAUFORT, SC 29907-1580
(843) 592-5300
Mailing address
670 DISTANT ISLAND DR, BEAUFORT, SC 29907-1580
(843) 592-5300
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS-005358-L
PA
103TC0700X
Clinical Psychologist
1060
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1429266
—
PA
Enumeration date
03/23/2006
Last updated
10/18/2013
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