Individual
KELLY COLLYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1266 14TH ST, 1266 14TH ST, OAKLAND, CA 94607-2205
(510) 867-1006
Mailing address
1551 BELDEN CT, PINOLE, CA 94564-2462
(510) 867-1006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
03/15/2016
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