Most Relevant Information
Provider Data
| NPI Number: | 1003356544 |
| Provider Name: | JESSICA COLLINS MA-CCC |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 5778 |
Most Important Dates
| Enumeration Date: | 03/02/2017 |
| Last Updated: | 03/02/2017 |
Provider Practice Location
350 AUSTIN GRAYBILL RD
NORTH AUGUSTA
SC
298609251
Practice Location Phone/Fax
| Phone: | 8032784272 |
| Fax: |
Provider Mailing Location
350 AUSTIN GRAYBILL RD
NORTH AUGUSTA
SC
298609251
Provider Mailing Phone/Fax
| Phone: | 8032784272 |
| Fax: |