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NPI Code Detail

MEDICARE: DR. CASEY KARENA COLLINS PSYD

MEDICARE: DR. CASEY KARENA COLLINS PSYD
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 Psychologist0810008230VA

General Provider Information

NPI Number : 1194405639
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CASEY KARENA COLLINS PSYD
Provider Business Mailing Address
First Line : 220 CAMPUS BLVD STE 320
Second Line :
City : WINCHESTER
State : VA
Zip : 22601-2889
Country : US
Telephone Number : 540-536-5100
Fax Number : 540-536-0235
Provider Business Practice Location Address
First Line : 333 W CORK ST UNIT 230
Second Line :
City : WINCHESTER
State : VA
Zip : 22601-3871
Country : US
Telephone Number : 540-536-1120
Fax Number : 540-536-5139
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2023
Last Update Date : 02/17/2026

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