Provider Demographics
NPI:1922378066
Name:COLLINS, KUJTIME
Entity Type:Individual
Prefix:
First Name:KUJTIME
Middle Name:
Last Name:COLLINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KUJTIME
Other - Middle Name:
Other - Last Name:LIKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2720 VIRGINIA PARKWAY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-5095
Mailing Address - Country:US
Mailing Address - Phone:972-548-1990
Mailing Address - Fax:972-548-1981
Practice Address - Street 1:2720 VIRGINIA PARKWAY
Practice Address - Street 2:SUITE 300
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-5095
Practice Address - Country:US
Practice Address - Phone:972-548-1990
Practice Address - Fax:972-548-1981
Is Sole Proprietor?:No
Enumeration Date:2012-01-06
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100014235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist