Individual
DR. KIMBERLY COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1802 S MATTIS AVE, CHAMPAIGN, IL 61821-5923
(217) 365-2855
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071005299
IL
Other
Enumeration date
08/03/2023
Last updated
02/06/2024
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