Individual
TERRENCE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
652 CRANE PRAIRIE WAY, OSPREY, FL 34229-7812
(414) 336-5159
Mailing address
652 CRANE PRAIRIE WAY, OSPREY, FL 34229-7812
(414) 336-5159
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY8515
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39120600
—
WI
Enumeration date
07/19/2006
Last updated
10/31/2014
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