Individual
CONSTANCE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3949 SUNFOREST CT, SUITE 101, TOLEDO, OH 43623-4473
(419) 474-3399
(419) 474-5165
Mailing address
7223 MAUMEE WESTERN RD, MAUMEE, OH 43537-9755
(419) 865-0251
(419) 724-3353
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP4412
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2208864
—
OH
Enumeration date
05/22/2007
Last updated
11/01/2017
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