Individual
DR. GEORGE FRANCIS COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY. D.
Contact information
Practice address
561 FAIRTHORNE AVE, PHILADELPHIA, PA 19128-2412
(215) 487-4000
Mailing address
561 FAIRTHORNE AVE, PHILADELPHIA, PA 19128-2412
(215) 487-4000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS016117
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO1904187
BLUE CROSS BLUE SHIELD
PA
Enumeration date
08/09/2007
Last updated
05/11/2011
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