Individual
BETHANY ANN COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10130 W NASH ST, WAUWATOSA, WI 53222-2333
(262) 337-0565
Mailing address
10130 W NASH ST, WAUWATOSA, WI 53222-2333
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/27/2017
Last updated
10/27/2017
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