Doctor Name: | MARTHA HOLLAND COLLER |
NPI Number: | 1952581811 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 7750 |
Business Practice Address: | 2415 Sunnyfield Ct Hillsborough, NC - 272789380 |
Business Phone Number: | 9197044047 |
Business Fax Number: | 9195378093 |
Mailing Address: | 2415 Sunnyfield Ct, HILLSBOROUGH |
State: | NC |
Postal Code: | 272789380 |
Phone Number: | 9197044047 |
Fax Number: | 9195378093 |
NPI Enumeration Date: | 11/08/2007 |
NPI Last Update Date: | 05/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7750 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |