Doctor Name: | MRS. AMY LIZETTE COLLINS |
NPI Number: | 1003951427 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BS SLP |
License Number: | SLPL4527 |
Business Practice Address: | 8203 W Oraibi Dr Apt 2115 Peoria, AZ - 853826603 |
Business Phone Number: | 6233989514 |
Business Fax Number: | |
Mailing Address: | 8203 W Oraibi Dr Apt 2115, PEORIA |
State: | AZ |
Postal Code: | 853826603 |
Phone Number: | 6233989514 |
Fax Number: | |
NPI Enumeration Date: | 02/21/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLPL4527 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |