Provider Demographics
NPI:1598569386
Name:COLLIER, DEIJON (BS, MBA)
Entity type:Individual
Prefix:
First Name:DEIJON
Middle Name:
Last Name:COLLIER
Suffix:
Gender:
Credentials:BS, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9507 DUNROMING RD
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23832-4052
Mailing Address - Country:US
Mailing Address - Phone:540-848-6089
Mailing Address - Fax:
Practice Address - Street 1:9507 DUNROMING RD
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23832-4052
Practice Address - Country:US
Practice Address - Phone:540-848-6089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator