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General NPI Number Information
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NPI Number | 1154288538
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Entity Type | Organization
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Legal Business Name | NOAH M COLLINS PHD PSYCHOLOGIST INC
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 768 PERALTA AVE
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City | BERKELEY
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State | CA
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Zip | 94707-1842
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Country | US
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Telephone | 510-982-5337
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Fax |
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Provider Business Mailing Address
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Address Line | 768 PERALTA AVE
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City | BERKELEY
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State | CA
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Zip | 94707-1842
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Country | US
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Telephone | 510-982-5337
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NOAH MATTHEW COLLINS
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Credential | PH.D.
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Telephone | 510-982-5337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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