Collman, Pamela Beth

Collman, Pamela Beth is an individual health care provider with primary practice located at 3766 Hwy 17 Ste 104, Richmond Hill GA 31324. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Collman, Pamela Beth can be contacted via phone (912) 756-7686.

Contact Information

Primary practice address
3766 Hwy 17 Ste 104 Richmond Hill GA 31324
Phone: (912) 756-7686
Fax: (912) 756-7856
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY002520 Georgia
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY16357 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY002520 Georgia
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY16357 California
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY002520 Georgia
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY16357 California

Profile Details

NPI number 1992845499
LBN Legal business name Collman, Pamela Beth
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Sep 9th, 2015 - about 10 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 1992845499 NPPES
Georgia Other 478168 VALUE OPTIONS SOUTH WEST
Georgia MEDICAID 899577937B VALUE OPTIONS SOUTH WEST

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