Brenna Collins, M.A. CF-SLP
Individual provider Active NPI Speech-Language Pathologist · Bluford, IL
NPI 1083480669 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1083480669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 14391 N Dove LN
Bluford, IL 62814-4110 - Phone
- (618) 472-1203
- NPI assigned
- Nov 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
14391 N Dove LN
Bluford, IL 62814-4110
Mailing address
14391 N Dove LN
Bluford, IL 62814-4110
Phone (618) 472-1203
Other providers in Bluford, IL
- Marshall James Ayer
- Bluford Grade School
- Bluford Unit School District #318
- County of Jefferson Webber Township High SCH Dist 204
- Farrington Community Consolidated School
- Kelly Dawn Knauss
- Ronald L. Weinstein
All providers in Bluford, IL · Speech-Language Pathologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.