Provider Demographics
NPI:1306124391
Name:GERMANN, COLLEEN (PSYD)
Entity type:Individual
Prefix:DR
First Name:COLLEEN
Middle Name:
Last Name:GERMANN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:COLLEEN
Other - Middle Name:
Other - Last Name:KLEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:97 SNAKE HILL RD
Mailing Address - Street 2:
Mailing Address - City:GLENVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12302-9600
Mailing Address - Country:US
Mailing Address - Phone:585-737-8626
Mailing Address - Fax:
Practice Address - Street 1:200 WOOD RD
Practice Address - Street 2:
Practice Address - City:BALLSTON SPA
Practice Address - State:NY
Practice Address - Zip Code:12020-2245
Practice Address - Country:US
Practice Address - Phone:518-884-7210
Practice Address - Fax:518-884-7219
Is Sole Proprietor?:No
Enumeration Date:2011-07-26
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool