Individual
KAYLA SUE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC SLP
Contact information
Practice address
OSAGE COUNTY REORGANZIED SCHOOL DISTRICT R-III, 143 E MAIN, WESTPHALIA, MO 65085-0037
(573) 455-2375
(573) 455-9884
Mailing address
PO BOX 37, WESTPHALIA, MO 65085-0037
(573) 455-2375
(573) 455-9884
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2004018736
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
467493904
—
MO
Enumeration date
02/28/2007
Last updated
02/19/2009
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