Marisa Collins, M.A. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Hampton, VA
NPI 1861627366 · NPPES record last updated Jul 17, 2009
Key facts
- NPI
- 1861627366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2202005417 (VA)
- Practice address
- 3710 Kecoughtan Rd
A
Hampton, VA 23669-4429 - Phone
- (757) 952-4217
- NPI assigned
- May 27, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8193 | NC | MD | Speech-Language Pathologist |
| 2202005417 | VA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech Language Intervention Strategies, Speechlis, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202005417 | VA | Yes |
| Speech-Language Pathologist | 235Z00000X | 8193 | NC |
Addresses
Primary practice location
3710 Kecoughtan Rd
A
Hampton, VA 23669-4429
Mailing address
3710 Kecoughtan Rd
A
Hampton, VA 23669-4429
Phone (757) 952-4217
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All providers in Hampton, VA · Speech-Language Pathologist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2009. 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.