Individual
KATHY COLLOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
46200 PORT ST, PLYMOUTH, MI 48170-6048
(734) 454-0866
Mailing address
1311 ELM ST, PLYMOUTH, MI 48170-1507
(313) 310-2380
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000101
MI
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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