Individual provider · Type 1 NPI

Samantha Rose Collins

Developmental Therapist · Cromwell, CT

NPI number 1457989014 Active

Practice location

162 West St Ste F
Cromwell, CT 06416-4405

Fax (860) 613-9952

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1457989014

Samantha Rose Collins's National Provider Identifier is 1457989014, issued on Mar 30, 2020. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Cromwell, CT. The record was last updated on Nov 5, 2020.