Collman, Pamela Beth
Collman, Pamela Beth is an individual health care provider with primary practice located at 3766 Hwy 17 Ste 104, Richmond Hill GA 31324. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Collman, Pamela Beth can be contacted via phone (912) 756-7686.Contact Information
Primary practice address
3766 Hwy 17 Ste 104
Richmond Hill GA 31324
Phone: (912) 756-7686
Fax: (912) 756-7856
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PSY002520 | Georgia |
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PSY16357 | California |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY002520 | Georgia |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY16357 | California |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PSY002520 | Georgia |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PSY16357 | California |
Profile Details
| NPI number | 1992845499 |
|---|---|
| LBN Legal business name | Collman, Pamela Beth |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Sep 9th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992845499 | NPPES |
| Georgia | Other | 478168 | VALUE OPTIONS SOUTH WEST |
| Georgia | MEDICAID | 899577937B | VALUE OPTIONS SOUTH WEST |
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