Most Relevant Information
Provider Data
| NPI Number: | 1003045550 |
| Provider Name: | AMBER MCCOLLISTER MS, CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SA10037 |
Most Important Dates
| Enumeration Date: | 07/06/2009 |
| Last Updated: | 07/06/2009 |
Provider Practice Location
4907 NW 43RD ST STE C
GAINESVILLE
FL
326062007
Practice Location Phone/Fax
| Phone: | 3523720047 |
| Fax: |
Provider Mailing Location
4907 NW 43RD ST STE C
GAINESVILLE
FL
326062007
Provider Mailing Phone/Fax
| Phone: | 3523720047 |
| Fax: |