Individual
DEIDRA COLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
8260 STONEBROOK CT, CUMMING, GA 30040-6617
(678) 557-9014
(678) 393-9487
Mailing address
8260 STONEBROOK CT, CUMMING, GA 30040-6617
(678) 557-9014
(678) 393-9487
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5039
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00918904B
—
GA
Enumeration date
12/21/2006
Last updated
07/08/2007
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