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NPI Code Detail

MEDICARE: HELEN RENEE COLCLOUGH-HINSON PHD

MEDICARE: HELEN RENEE COLCLOUGH-HINSON PHD
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
1103TC0700XClinical Psychologist2227NC

General Provider Information

NPI Number : 1770893596
Entity Type Code : Individual
Provider Name (Legal Business Name) : HELEN RENEE COLCLOUGH-HINSON PHD
Provider Business Mailing Address
First Line : 2675 COURT DR
Second Line :
City : GASTONIA
State : NC
Zip : 28054-1478
Country : US
Telephone Number : 704-824-4999
Fax Number :
Provider Business Practice Location Address
First Line : 1114 EASTCHESTER DR
Second Line :
City : HIGH POINT
State : NC
Zip : 27265-3114
Country : US
Telephone Number : 336-802-1007
Fax Number : 336-888-3585
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2010
Last Update Date : 07/23/2025

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