Individual
LYDIA COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
7820 PETERS RD STE E100, PLANTATION, FL 33324-4019
(954) 577-0095
Mailing address
5200 NW 31ST AVE APT D73, FORT LAUDERDALE, FL 33309-2599
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
11152
FL
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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