Provider Demographics
NPI:1013520477
Name:BELL, COLLEEN (PSYS)
Entity Type:Individual
Prefix:
First Name:COLLEEN
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:PSYS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 328
Mailing Address - Street 2:
Mailing Address - City:SPRINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18081-0328
Mailing Address - Country:US
Mailing Address - Phone:610-346-9124
Mailing Address - Fax:
Practice Address - Street 1:3085 CHURCH STREET
Practice Address - Street 2:
Practice Address - City:SPRINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:18081
Practice Address - Country:US
Practice Address - Phone:610-346-9124
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-26
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool