Provider Demographics
NPI:1134136450
Name:COLLINS, ROBERT L (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:L
Last Name:COLLINS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10333 HARWIN DR STE 435
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-1794
Mailing Address - Country:US
Mailing Address - Phone:281-954-6828
Mailing Address - Fax:346-223-0296
Practice Address - Street 1:10333 HARWIN DR STE 435
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-1794
Practice Address - Country:US
Practice Address - Phone:281-954-6828
Practice Address - Fax:346-223-0296
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1373103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist