Organization Active NPI

Collier Communication Therapy, LLC

  • Speech-Language Pathologist
  • Cumming, GA
National Provider Identifier
1437213444
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5039 Issued in GA
Legal business name
COLLIER COMMUNICATION THERAPY, LLC
Practice address
8260 Stonebrook CT
Cumming, GA 30040-6617
Phone
(678) 557-9014
Fax
(678) 393-9487
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Deidra Collier, M.ED., CCC-SLPNPI 1295899292
Title
Owner, Speech-Language Pathologist
Phone
(678) 557-9014

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 5039 GA Primary

Addresses

Primary practice location

8260 Stonebrook CT
Cumming, GA 30040-6617

Mailing address

8260 Stonebrook CT
Cumming, GA 30040-6617

Other identifiers 1

IdentifierTypeStateIssuer
00918904BMedicaidGA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437213444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8260 STONEBROOK CT",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300406617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8260 STONEBROOK CT",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300406617",
            "telephone_number": "678-557-9014",
            "fax_number": "678-393-9487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLIER COMMUNICATION THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "DEIDRA",
        "authorized_official_title_or_position": "OWNER, SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "678-557-9014",
        "authorized_official_credential": "M.ED., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "5039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00918904B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.