Individual
DR. R DANDRIDGE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
210 W RITTENHOUSE SQ, SUITE 408, PHILADELPHIA, PA 19103-5726
(215) 790-9718
(215) 790-2557
Mailing address
210 W RITTENHOUSE SQ, SUITE 408, PHILADELPHIA, PA 19103-5726
(215) 790-9718
(215) 790-2557
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
103TC1900X
Counseling Psychologist
Primary
PS-005244-L
PA
103TF0200X
Forensic Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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