Individual
COLLEEN RAE MCQUAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS-PMH, BC
Contact information
Practice address
4500 SOUTH LANCASTER ROAD, DALLAS, TX 75216
(800) 849-3597
(214) 302-1441
Mailing address
1612 ROBIN RD., PANTEGO, TX 76013
(817) 688-7352
(214) 302-1441
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
255887
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0134143-01
ANCC CERT. NO.
TX
01
—
11712
LPC LICENSE NUMBER
TX
01
—
255887
REGISTERED NSG LICENSE
TX
Enumeration date
09/19/2006
Last updated
07/09/2007
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