| S Collicott Incorporated | |
|
43288 Joy Ln Hollywood MD 20636-2608 | |
| (301) 643-3769 | |
| (301) 884-7018 |
| Full Name | S Collicott Incorporated |
|---|---|
| Speciality | Psychologist |
| Location | 43288 Joy Ln, Hollywood, Maryland |
| Authorized Official Name and Position | Sheila F. Collicott (PRESIDENT) |
| Authorized Official Contact | 3016433769 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S Collicott Incorporated Po Box 76 Charlotte Hall MD 20622-0076 Ph: (301) 643-3769 | S Collicott Incorporated 43288 Joy Ln Hollywood MD 20636-2608 Ph: (301) 643-3769 |
| NPI Number | 1942441951 |
|---|---|
| Provider Enumeration Date | 03/20/2009 |
| Last Update Date | 03/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942441951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 04018 (Maryland) | Primary |
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