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NPI Code Detail

MEDICARE: DR. LINDA LOUISE COLLINS PH.D.

MEDICARE: DR. LINDA LOUISE COLLINS PH.D.
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 PsychologistPSY16251CA
2106H00000XMarriage & Family TherapistMFC16251CA

General Provider Information

NPI Number : 1669693800
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINDA LOUISE COLLINS PH.D.
Provider Business Mailing Address
First Line : 3707 3RD AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-4111
Country : US
Telephone Number : 619-296-7757
Fax Number : 619-542-0324
Provider Business Practice Location Address
First Line : 3707 3RD AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-4111
Country : US
Telephone Number : 619-296-7757
Fax Number : 619-542-0324
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2007
Last Update Date : 09/11/2025

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