Provider Demographics
NPI:1992474936
Name:VERNAY, COLLIN NICHOLAS (PHD)
Entity type:Individual
Prefix:DR
First Name:COLLIN
Middle Name:NICHOLAS
Last Name:VERNAY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 CONNECTICUT AVE NW STE 605
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-1735
Mailing Address - Country:US
Mailing Address - Phone:202-695-2596
Mailing Address - Fax:
Practice Address - Street 1:1350 CONNECTICUT AVE NW STE 605
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-1735
Practice Address - Country:US
Practice Address - Phone:202-695-2596
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-13
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPSY200001529103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist