Individual
MICHAEL COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 KENDALL SQ STE B14403, CAMBRIDGE, MA 02139-1675
(617) 758-8485
Mailing address
1 KENDALL SQ STE B14403, CAMBRIDGE, MA 02139-1675
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10785
MA
Other
Enumeration date
03/05/2018
Last updated
03/05/2018
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