Individual
COLLIN HUBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6270 N GOVERNMENT WAY, DALTON GARDENS, ID 83815
(714) 658-2705
Mailing address
27562 SEASCAPE CIR, DANA POINT, CA 92624-1855
(714) 658-2705
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
33528
CA
235Z00000X
Speech-Language Pathologist
3471249
ID
Other
Enumeration date
08/19/2019
Last updated
03/10/2025
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