Individual
DR. MICHELLE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
35 LAUREL RD, HAMDEN, CT 06517-4019
(203) 641-1339
(888) 515-1420
Mailing address
17 S MARYLAND AVE STE C, PORT WASHINGTON, NY 11050-2912
(516) 767-2166
(888) 515-1420
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002875
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01792983
—
NY
01
—
6800686
GHI
NY
05
—
CBHP5838MC
—
CT
01
—
P844738
OXFORD
NY
Enumeration date
07/04/2006
Last updated
06/11/2020
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