Organization
S COLLICOTT INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA F. COLLICOTT PSY.D. (PRESIDENT)
(301) 643-3769
Entity
Organization
Contact information
Practice address
43288 JOY LN, HOLLYWOOD, MD 20636-2608
(301) 643-3769
(301) 884-7018
Mailing address
PO BOX 76, CHARLOTTE HALL, MD 20622-0076
(301) 643-3769
(301) 884-7018
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
04018
MD
Other
Enumeration date
03/20/2009
Last updated
03/20/2009
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