Provider Demographics
NPI:1801031752
Name:COLLINS, JAZNIA DYONIS (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JAZNIA
Middle Name:DYONIS
Last Name:COLLINS
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9410 60TH AVE
Mailing Address - Street 2:#6B
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-5077
Mailing Address - Country:US
Mailing Address - Phone:718-930-2550
Mailing Address - Fax:
Practice Address - Street 1:9410 60TH AVE
Practice Address - Street 2:#6B
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-5077
Practice Address - Country:US
Practice Address - Phone:718-930-2550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-06
Last Update Date:2008-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013130-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist