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DR. PAMELA BETH COLLMAN PHD

Clinical Neuropsychologist

Richmond Hill, Georgia

Provider NPI: 1992845499

Provider Information:
DR. PAMELA BETH COLLMAN PHD
Gender: F
Not Sole Proprietor

Practice Location:
3766 HWY 17 STE 104 RICHMOND HILL, GA 31324 US
Tel: 912-756-7686  Fax: 912-756-7856

Business Mailing Address:
PO BOX 1450  RICHMOND HILL, GA 31324 US
Tel: 912-756-7686  Fax: 912-756-7856

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
GAPSY002520
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
CAPSY16357
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
GAPSY002520
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
CAPSY16357
N103TC2200XBehavioral Health & Social Service Providers
Psychologist
CAPSY16357
Y103TC2200XBehavioral Health & Social Service Providers
Psychologist
GAPSY002520

Other Provider Identifiers:

IssuerNumberStateType
899577937BGA05
VALUE OPTIONS SOUTH WEST478168GA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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