Provider Demographics
NPI:1538920566
Name:COLLIER, EMMA BRIANNE (MS CF-SLP)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:BRIANNE
Last Name:COLLIER
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8551 PANAMA CITY BEACH PKWY APT 8207
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32407-4093
Mailing Address - Country:US
Mailing Address - Phone:850-303-3984
Mailing Address - Fax:
Practice Address - Street 1:1847 FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-4640
Practice Address - Country:US
Practice Address - Phone:850-914-8600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-17
Last Update Date:2024-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ11819235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist