Provider Demographics
NPI:1003123209
Name:COLLINS, DANYSE D (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:DANYSE
Middle Name:D
Last Name:COLLINS
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 TILDEN LN
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13501-5512
Mailing Address - Country:US
Mailing Address - Phone:315-735-4732
Mailing Address - Fax:
Practice Address - Street 1:106 MEMORIAL PARKWAY
Practice Address - Street 2:UTICA CITY SCHOOL DISTRICT
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13501-5512
Practice Address - Country:US
Practice Address - Phone:315-368-6018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-09
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009632235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist