Provider Demographics
NPI:1851315915
Name:COLLINS, CATHY A (DO)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:A
Last Name:COLLINS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10789 BRADFORD RD
Mailing Address - Street 2:STE 204
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-6406
Mailing Address - Country:US
Mailing Address - Phone:303-951-3765
Mailing Address - Fax:303-951-3764
Practice Address - Street 1:10789 BRADFORD RD
Practice Address - Street 2:STE 204
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-6406
Practice Address - Country:US
Practice Address - Phone:303-951-3765
Practice Address - Fax:303-951-3764
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO398922084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO82973831Medicaid
H81420Medicare UPIN
CO800398Medicare ID - Type Unspecified