Kayla Sue Collins, CCC SLP

Individual provider Active NPI Speech-Language Pathologist · Westphalia, MO

NPI 1144358474 · NPPES record last updated Feb 19, 2009

Key facts

NPI
1144358474
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
2004018736 (MO)
Practice address
Osage County Reorganzied School District R-III
143 E Main
Westphalia, MO 65085-0037
Phone
(573) 455-2375
Fax
(573) 455-9884
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2004018736MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Osage County Reorganized School District Speech-Language Pathologist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2004018736 MO Yes

Addresses

Primary practice location

Osage County Reorganzied School District R-III
143 E Main
Westphalia, MO 65085-0037

Mailing address

PO Box 37
Westphalia, MO 65085-0037
Phone (573) 455-2375

Other identifiers

IdentifierTypeStateIssuer
467493904MedicaidMO

Other names

  • Kayla Sue Wareham Former name

Other providers in Westphalia, MO

All providers in Westphalia, MO · Speech-Language Pathologist in Missouri

Sources for this page

Verify at the official NPI Registry.