Deborah Anne Collins, MS,CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Freeport, ME

NPI 1013253442 · NPPES record last updated Dec 12, 2012

Key facts

NPI
1013253442
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SP2191 (ME)
Practice address
17 West St
Freeport, ME 04032-1121
Phone
(209) 327-3738
NPI assigned
Dec 12, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP2191MEMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP2191 ME Yes

Addresses

Primary practice location

17 West St
Freeport, ME 04032-1121

Mailing address

17 West St
Freeport, ME 04032-1121
Phone (209) 327-3738

Other providers in Freeport, ME

All providers in Freeport, ME · Speech-Language Pathologist in Maine

Sources for this page

Verify at the official NPI Registry.