Individual
COLLEN Q BREENE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
62 PAUL REVERE RD, OIL CITY, PA 16301-1136
(814) 676-2693
Mailing address
62 PAUL REVERE RD, OIL CITY, PA 16301-1136
(814) 676-2693
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS005957L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015383500003
—
PA
Enumeration date
03/31/2006
Last updated
07/09/2007
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