Provider Demographics
NPI:1003224494
Name:COLLINS, NOAH (PHD)
Entity Type:Individual
Prefix:DR
First Name:NOAH
Middle Name:
Last Name:COLLINS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF MARYLAND COUNSELING CTR
Mailing Address - Street 2:SHOEMAKER BUILDING - ROOM 1133
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20742-0001
Mailing Address - Country:US
Mailing Address - Phone:301-314-7661
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF MARYLAND COUNSELING CTR
Practice Address - Street 2:SHOEMAKER BUILDING - ROOM 1133
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20742-0001
Practice Address - Country:US
Practice Address - Phone:301-314-7661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-29
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD4639103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling