Provider Demographics
NPI:1003588641
Name:COLLINS, KATHY ANNE (MS CCC/SLP)
Entity Type:Individual
Prefix:MS
First Name:KATHY
Middle Name:ANNE
Last Name:COLLINS
Suffix:
Gender:F
Credentials:MS CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:268 SOUTHWESTERN BLVD
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-4519
Mailing Address - Country:US
Mailing Address - Phone:214-496-6000
Mailing Address - Fax:
Practice Address - Street 1:268 SOUTHWESTERN BLVD
Practice Address - Street 2:
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-4519
Practice Address - Country:US
Practice Address - Phone:214-496-6000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-01
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist