| Doctor Name: | STEPHANIE W COLLINS |
| NPI Number: | 1073599791 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | 1663 |
| Business Practice Address: | 146 Ocean St Suite 2 South Portland, ME - 041063664 |
| Business Phone Number: | 2077474455 |
| Business Fax Number: | 8889075762 |
| Mailing Address: | 146 Ocean St, Suite 2 SOUTH PORTLAND |
| State: | ME |
| Postal Code: | 041063664 |
| Phone Number: | 2077474455 |
| Fax Number: | 8889075762 |
| NPI Enumeration Date: | 12/15/2005 |
| NPI Last Update Date: | 09/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204D00000X |
| License Number: | 1663 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |