Martha Holland Coller

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7750 Issued in NC

Practice address

2415 Sunnyfield CT
Hillsborough, NC 27278-9380

Phone

(919) 704-4047

Fax

(919) 537-8093

NPI assigned

Nov 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Small World Therapy P.a.

  • Speech-Language Pathologist
  • Graham, NC
  • NPI 1558668996
  NPD (past)

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1952581811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 SUNNYFIELD CT",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272789380",
            "telephone_number": "919-704-4047",
            "fax_number": "919-537-8093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 SUNNYFIELD CT",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272789380",
            "telephone_number": "919-704-4047",
            "fax_number": "919-537-8093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLER",
        "first_name": "MARTHA",
        "middle_name": "HOLLAND",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-08",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "7750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Demetria Clark-Bass
• Colie Bob Clark Jr., BS, CCP, LP
• Claudia Shapiro, LCSW
• Melissa Robin Clepper-Faith, M.D.
• Rashida Coleman
• Abigail Combs
• Community Innovations Inc.
• Connecting Dots Counseling Services
• Deborah Constantine
• Orlando Conty, MD

• Speech-Language Pathologist in Hillsborough, NC
• Providers in Hillsborough, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.