Organization
ANN MARIE COLLINS PHD PMHNP LPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANN MARIE COLLINS PHD PMHNP LPC (OWNER/ PROVIDER)
(248) 626-3333
Entity
Organization
Contact information
Practice address
5600 W MAPLE RD, STE B-206, WEST BLOOMFIELD, MI 48322-3704
(248) 626-3333
(248) 626-3375
Mailing address
14011 VERNON ST, OAK PARK, MI 48237-1319
(248) 626-3333
(248) 626-3375
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4704085418
MI
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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