Collins, Thomas Michael

Collins, Thomas Michael is an sole proprietor health care provider with primary practice located at 670 Distant Island Dr , Beaufort SC 29907-1580. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Collins, Thomas Michael can be contacted via phone (843) 592-5300.

Contact Information

Primary practice address
670 Distant Island Dr Beaufort SC 29907-1580
Phone: (843) 592-5300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS-005358-L Pennsylvania
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1060 South Carolina

Profile Details

NPI number 1154381325
LBN Legal business name Collins, Thomas Michael
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2006
Last updated Oct 18th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154381325 NPPES
Pennsylvania MEDICAID 1429266

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