Maria Collins
Individual provider Active NPI Speech-Language Pathologist · Andover, MN
NPI 1871964700 · NPPES record last updated Dec 6, 2023
Key facts
- NPI
- 1871964700
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 46002885A (IN)
- Practice address
- 1891 Station Parkway NW
Andover, MN 55304-4259 - Phone
- (763) 755-4275
- Fax
- (763) 755-4261
- NPI assigned
- Oct 19, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170210001228 | MN | Practitioner - Qualified Speech Language Pathologist | 1052694312 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46002885A | IN | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 46002885A | IN | Yes |
Addresses
Primary practice location
1891 Station Parkway NW
Andover, MN 55304-4259
Mailing address
1891 Station Parkway NW
Andover, MN 55304-4259
Phone (763) 755-4275
Other providers in Andover, MN
- Julie Elizabeth Christianson
- Ethan R Chute
- Thomas Andrew Clawson
- Joy Hanna Cloutier
- Nicholas Coffield
- Columbia Park Medical Group, PA
- Columbia Park Medical Group, PA
- Columbia Park Medical Group, PA
- Columbia Park Medical Group, PA
- Gracie Isabella Comeau
All providers in Andover, MN · Speech-Language Pathologist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.