Provider Demographics
NPI:1245577626
Name:COLLINS, BETH S (EDM CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:BETH
Middle Name:S
Last Name:COLLINS
Suffix:
Gender:F
Credentials:EDM CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:256 FREDERICK RD
Mailing Address - Street 2:
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-1014
Mailing Address - Country:US
Mailing Address - Phone:610-446-1305
Mailing Address - Fax:
Practice Address - Street 1:256 FREDERICK RD
Practice Address - Street 2:
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-1014
Practice Address - Country:US
Practice Address - Phone:610-446-1305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-06
Last Update Date:2013-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL008908235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist