Individual
MAURA COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-2240
(202) 476-2163
Mailing address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-2240
(202) 476-2163
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
07505
MD
235Z00000X
Speech-Language Pathologist
2202007301
VA
235Z00000X
Speech-Language Pathologist
Primary
SLP000527
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07505
STATE
MD
01
—
2202007301
STATE
VA
01
—
SLP000527
STATE
DC
Enumeration date
07/20/2015
Last updated
07/20/2015
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