Healthcare Provider Details

I. General information

NPI: 1376354761
Provider Name (Legal Business Name): CRYSTAL COLLINS PPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2025
Last Update Date: 01/15/2025
Certification Date: 01/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

714 F ST
EUREKA CA
95501-1036
US

IV. Provider business mailing address

714 F ST
EUREKA CA
95501-1036
US

V. Phone/Fax

Practice location:
  • Phone: 707-572-6846
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number230061195
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: