| Doctor Name: | MARCELLA MCCOLLUM |
| NPI Number: | 1740562065 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., CCC-SLP |
| License Number: | 17246 |
| Business Practice Address: | 1 Washington Sq Sh 115 San Jose, CA - 951920079 |
| Business Phone Number: | 4089243679 |
| Business Fax Number: | 4089243641 |
| Mailing Address: | 1 Washington Sq, Sh 115 SAN JOSE |
| State: | CA |
| Postal Code: | 951920079 |
| Phone Number: | 4089243679 |
| Fax Number: | |
| NPI Enumeration Date: | 09/13/2011 |
| NPI Last Update Date: | 09/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 17246 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| 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 |