Individual
MRS. AMY LIZETTE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS SLP
Contact information
Practice address
8203 W ORAIBI DR APT 2115, PEORIA, AZ 85382-6603
(623) 398-9514
Mailing address
8203 W ORAIBI DR APT 2115, PEORIA, AZ 85382-6603
(623) 398-9514
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPL4527
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890477
—
AZ
Enumeration date
02/21/2007
Last updated
07/09/2007
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