Provider Demographics
NPI:1538465836
Name:COLLINS, JULIE KATE (SLP)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:KATE
Last Name:COLLINS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 ACORN FALLS CT
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-7360
Mailing Address - Country:US
Mailing Address - Phone:919-762-8589
Mailing Address - Fax:
Practice Address - Street 1:421 ACORN FALLS CT
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-7360
Practice Address - Country:US
Practice Address - Phone:919-762-8589
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-03
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7981235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7981OtherNORTH CAROLINA BOARD OF EXAMINERS LICENSE