| Doctor Name: | MRS. ATIYA LARK COLLINS |
| NPI Number: | 1801116181 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.C.D. CCC-SLP |
| License Number: | 3969 |
| Business Practice Address: | 203 North Maple Street Suite # 10 Simpsonville, SC - 29681 |
| Business Phone Number: | 8647579846 |
| Business Fax Number: | |
| Mailing Address: | 1317 Morgan Rd, HODGES |
| State: | SC |
| Postal Code: | 296539793 |
| Phone Number: | 8643411279 |
| Fax Number: | |
| NPI Enumeration Date: | 06/09/2010 |
| NPI Last Update Date: | 03/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 3969 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| 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 |