Individual
COLLIN DAVID MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3551 ROGER BROOKE DR, DEPARTMENT OF BEHAVIORAL MEDICINE-MCHE-DBM, FORT SAM HOUSTON, TX 78234-4504
(210) 539-6150
Mailing address
USA MEDDAC, 11050 MOUNT BELVEDERE BLVD, FORT DRUM, NY 13602
(315) 772-0279
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
728
WY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/16/2018
Last updated
12/20/2021
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