Doctor Name: | LINDA JOAN COLLINGS |
NPI Number: | 1073565032 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D., M.P. |
License Number: | 848 |
Business Practice Address: | 633 Asbury Dr Suite A Mandeville, LA - 704716511 |
Business Phone Number: | 9856242942 |
Business Fax Number: | 5049109980 |
Mailing Address: | 633 Asbury Dr, Suite A MANDEVILLE |
State: | LA |
Postal Code: | 704716511 |
Phone Number: | 9856242942 |
Fax Number: | 5049109980 |
NPI Enumeration Date: | 05/17/2006 |
NPI Last Update Date: | 04/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 848 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |