Individual
MS. MARISA COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
3710 KECOUGHTAN RD, A, HAMPTON, VA 23669-4429
(757) 952-4217
Mailing address
3710 KECOUGHTAN RD, A, HAMPTON, VA 23669-4429
(757) 952-4217
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005417
VA
235Z00000X
Speech-Language Pathologist
8193
NC
Other
Enumeration date
05/27/2009
Last updated
07/17/2009
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