Individual
DR. JUSTIN COLLMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
435 PETALUMA AVE, SUITE 110E, SEBASTOPOL, CA 95472-4277
(707) 536-6956
Mailing address
1152 PRUNETREE CT, SANTA ROSA, CA 95401-4984
(707) 536-6956
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
27539
CA
Other
Enumeration date
11/07/2015
Last updated
11/07/2015
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