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Individual

MRS. TERESA COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. CCC-SLP

Contact information

Practice address
1318 E LINCOLN AVE, SAPULPA, OK 74066-4843
(808) 238-9565
Mailing address
PO BOX 707, SAPULPA, OK 74067-0707
(808) 238-9565

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
1055
HI
235Z00000X
Speech-Language Pathologist
Primary
4504
OK
235Z00000X
Speech-Language Pathologist
NC

Other

Enumeration date
05/15/2008
Last updated
03/03/2025
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