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Individual

AMBER MCCOLLISTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
1247 RUCKER BLVD STE 1, ENTERPRISE, AL 36330-3630
(334) 316-0191
Mailing address
127 PATRICIA LN, DALEVILLE, AL 36322-5309
(334) 447-0456

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4846
AL
235Z00000X
Speech-Language Pathologist
Primary
SA10037
FL

Other

Enumeration date
07/06/2009
Last updated
08/03/2026
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