Provider Demographics
NPI:1669424115
Name:SNEAD, COLLEEN (MS)
Entity type:Individual
Prefix:MS
First Name:COLLEEN
Middle Name:
Last Name:SNEAD
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7305 N MILITARY TRL
Mailing Address - Street 2:AUDIOLOGY & SPEECH (126)
Mailing Address - City:RIVIERA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33410-7417
Mailing Address - Country:US
Mailing Address - Phone:561-422-8212
Mailing Address - Fax:561-422-8515
Practice Address - Street 1:7305 N MILITARY TRL
Practice Address - Street 2:AUDIOLOGY & SPEECH (126)
Practice Address - City:RIVIERA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-7417
Practice Address - Country:US
Practice Address - Phone:561-422-8212
Practice Address - Fax:561-422-8515
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY1245231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist