Healthcare Provider Details

I. General information

NPI: 1922914696
Provider Name (Legal Business Name): CAILIN COLLINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

807 WELLER AVE
HAMILTON OH
45015-1568
US

IV. Provider business mailing address

5054 DIXIE HWY
FAIRFIELD OH
45014-2934
US

V. Phone/Fax

Practice location:
  • Phone: 740-739-7773
  • Fax:
Mailing address:
  • Phone: 513-829-7979
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: