Provider Demographics
NPI:1821320979
Name:COLLINS, CATHI ANN (MA, CCC-S)
Entity Type:Individual
Prefix:MRS
First Name:CATHI
Middle Name:ANN
Last Name:COLLINS
Suffix:
Gender:F
Credentials:MA, CCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 S WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25705-3512
Mailing Address - Country:US
Mailing Address - Phone:304-522-8186
Mailing Address - Fax:304-733-9009
Practice Address - Street 1:244 S WALNUT ST
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25705-3512
Practice Address - Country:US
Practice Address - Phone:304-522-8186
Practice Address - Fax:304-733-9009
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-31
Last Update Date:2010-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVSLP-0136235Z00000X
OHSP 8136235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist