Individual
DR. COLLEEN SUSAN COLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
105 SHAD ROW, SUITE D, PIERMONT, NY 10968
(845) 398-8864
Mailing address
105 SHAD ROW, SUITE D, PIERMONT, NY 10968
(845) 398-8864
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0107051
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029692
VALUE OPTIONS
NY
01
—
P1024855
GHI
NY
Enumeration date
04/30/2007
Last updated
07/08/2007
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