Provider Demographics
NPI:1013383660
Name:DUEVER-COLLINS, LAUREL M (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LAUREL
Middle Name:M
Last Name:DUEVER-COLLINS
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:LAUREL
Other - Middle Name:MARY
Other - Last Name:DUEVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:525 N KEENE ST
Mailing Address - Street 2:STE 101
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201
Mailing Address - Country:US
Mailing Address - Phone:573-882-7350
Mailing Address - Fax:573-882-7250
Practice Address - Street 1:525 N KEENE ST
Practice Address - Street 2:STE 101
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201
Practice Address - Country:US
Practice Address - Phone:573-882-7350
Practice Address - Fax:573-882-7250
Is Sole Proprietor?:No
Enumeration Date:2015-08-18
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015021875235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist