Individual
DR. TOM COLLINS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
300 PRESTON AVE, SUITE 308, CHARLOTTESVILLE, VA 22902-5044
(434) 242-0699
(434) 244-3772
Mailing address
300 PRESTON AVE, SUITE 308, CHARLOTTESVILLE, VA 22902-5044
(434) 242-0699
(434) 244-3772
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810001769
VA
Other
Enumeration date
06/12/2006
Last updated
07/08/2007
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