Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LEWIS EMBRY COLLINS JR., PH.D.
Active Sole ProprietorDR. LEWIS EMBRY COLLINS JR., PH.D. is a Psychologist healthcare provider located in BERKELEY LAKE, Georgia. NPI 1235204991 is currently active in the NPPES registry. Verify at CMS.
Psychologist · BERKELEY LAKE, GA
Registration Details
- NPI Number
- 1235204991
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 21, 2006 (19.759578588727 yrs)
- Last Updated
- Jun 1, 2017
- License
-
PSY 0892 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4530 S BERKELEY LAKE RDSTE BBERKELEY LAKE, GA, 300711657Browse GA providers · Browse ZIP 30071
- Phone
- 7704465642
- Fax
- 7704465643
- Primary Specialty
-
Psychologist
103T00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.