Individual
KATHLEEN J COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
295 LINCOLN ST, WORCESTER, MA 01605-3639
(508) 334-2012
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
9281
MA
Other
Enumeration date
03/12/2007
Last updated
12/20/2010
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