| Doctor Name: | MRS. STACY ANN COLLINS |
| NPI Number: | 1427278118 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS. CCC-SLP |
| License Number: | SL005688L |
| Business Practice Address: | 1 N Belfield Ave Havertown, PA - 190834904 |
| Business Phone Number: | 6104491600 |
| Business Fax Number: | 6104492655 |
| Mailing Address: | 852 Homestead Ave, HAVERTOWN |
| State: | PA |
| Postal Code: | 190832638 |
| Phone Number: | 6108967504 |
| Fax Number: | |
| NPI Enumeration Date: | 04/26/2007 |
| NPI Last Update Date: | 11/05/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SL005688L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| 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 |