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General NPI Number Information
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NPI Number | 1174472336
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Entity Type | Organization
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Legal Business Name | COLLETTE PSYCHOLOGICAL SERVICES, INC.
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Dates
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Enumeration Date | 01/22/2026
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 802 COLLEGE AVE STE 203
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City | KENTFIELD
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State | CA
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Zip | 94904-2564
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Country | US
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Telephone | 415-870-4249
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Fax |
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Provider Business Mailing Address
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Address Line | 802 COLLEGE AVE STE 203
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City | KENTFIELD
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State | CA
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Zip | 94904-2564
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Country | US
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Telephone | 415-870-4249
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EMILY COLLETTE
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Credential | PSY.D.
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Telephone | 415-870-4249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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