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Organization
COLLIER COMMUNICATION THERAPY, LLC
Active
Organization
COLLIER COMMUNICATION THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEIDRA COLLIER M.ED., CCC-SLP (OWNER, SPEECH-LANGUAGE PATHOLOGIST)
(678) 557-9014
Entity
Organization
Contact information
Practice address
8260 STONEBROOK CT, CUMMING, GA 30040-6617
(678) 557-9014
(678) 393-9487
Mailing address
8260 STONEBROOK CT, CUMMING, GA 30040-6617
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5039
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00918904B
—
GA
Enumeration date
12/21/2006
Last updated
08/22/2020
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