Individual
HEATHER L COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCCA
Contact information
Practice address
1200 LAKE VIEW DR, SUITE 350, WAUSAU, WI 54403-6707
(715) 261-1980
Mailing address
1200 LAKE VIEW DR, SUITE 350, WAUSAU, WI 54403-6707
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
236
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41129900
—
WI
Enumeration date
09/20/2006
Last updated
11/08/2012
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