Doctor Name: | DR. WILLIAM JOESPH COLLINS |
NPI Number: | 1053370676 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSY.D. |
License Number: | PSY18453 |
Business Practice Address: | 150 Muir Rd Veterans Affairs -- Mental Health Martinez, CA - 945534668 |
Business Phone Number: | 9253722105 |
Business Fax Number: | |
Mailing Address: | Po Box 2111, OLYMPIC VALLEY |
State: | CA |
Postal Code: | 961462111 |
Phone Number: | 4157225060 |
Fax Number: | |
NPI Enumeration Date: | 03/22/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY18453 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |