MEDICARE: DR. CAROL D COLLIER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	42890	CO
2	2084P0800X	Psychiatry Physician	C-192495	CA

General Provider Information

NPI Number	:	1083674865
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAROL D COLLIER M.D.

Provider Business Mailing Address
First Line	:	8946 TUTT BLVD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80924-4214
Country	:	US
Telephone Number	:	303-547-7085
Fax Number	:

Provider Business Practice Location Address
First Line	:	8946 TUTT BLVD
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80924-4214
Country	:	US
Telephone Number	:	303-547-7085
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	07/22/2025

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