Individual
ANGELA KAY COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
19965 FM 3175, LYTLE, TX 78052-3481
(210) 357-0395
(830) 709-5493
Mailing address
PO BOX 725, LYTLE, TX 78052-0725
(210) 357-0395
(830) 709-5493
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
102957
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102957
SLP PROFESSIONAL LICENSE
TX
Enumeration date
09/12/2013
Last updated
09/12/2013
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