Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Collin David Mullins

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174026009

Collin David Mullins is a Student in an Organized Health Care Education/Training Program in Fort Sam Houston, Texas. Works from 2 locations. Licensed in Wyoming.

Licensed in
WY
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

3551 Roger Brooke Dr Dept OF Behavioral Medicine-Mche-Dbm
Fort Sam Houston, TX 78234-4504
Phone: (210) 539-6150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Usa Meddac, Fort Drum, NY 13602 — (315) 772-0279

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 728 (WY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1174026009
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 16, 2018
Last updated in NPPESDecember 20, 2021
Certification dateDecember 17, 2021
Mailing addressUsa Meddac, 11050 Mount Belvedere Blvd, Fort Drum, NY 13602

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