Individual
KRYSTAL ALEXANDRA COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
135 RIVER ST, NEW CANAAN, CT 06840-4236
(203) 561-4615
Mailing address
135 RIVER ST, NEW CANAAN, CT 06840-4236
(203) 561-4615
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004253
CT
Other
Enumeration date
11/19/2017
Last updated
11/19/2017
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