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Contact Information

THOMAS M COLLINS, PhD
670 DISTANT ISLAND DR
BEAUFORT, SC29907-1580
 Phone: 843-592-5300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for THOMAS M COLLINS · (Male)

NPI # 1154381325
Status Active
Credentials PhD
Entity Individual
Enumeration date 03/23/2006
Last updated 10/18/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # PS-005358-L
  • SC License # 1060
  • PA Medicaid 1429266
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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