Individual
DR. JENNIFER O COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4211 PARKWAY PLACE DR SW, GRANDVILLE, MI 49418-2695
(616) 222-3700
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6351004640
MI
103TC0700X
Clinical Psychologist
Primary
6301019552
MI
103TC0700X
Clinical Psychologist
6351004640
MI
Other
Enumeration date
05/11/2022
Last updated
03/04/2026
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