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Individual

DR. PAMELA BETH COLLMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
3766 HWY 17, STE 104, RICHMOND HILL, GA 31324
(912) 756-7686
(912) 756-7856
Mailing address
PO BOX 1450, RICHMOND HILL, GA 31324
(912) 756-7686
(912) 756-7856

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY002520
GA
103G00000X
Clinical Neuropsychologist
PSY16357
CA
103TC0700X
Clinical Psychologist
PSY002520
GA
103TC0700X
Clinical Psychologist
PSY16357
CA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY002520
GA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY16357
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
478168
VALUE OPTIONS SOUTH WEST
GA
05
899577937B
GA
Enumeration date
02/07/2007
Last updated
09/09/2015
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