Provider Demographics
NPI:1619544475
Name:COLLINS, SONYA D (MS CF-SLP)
Entity type:Individual
Prefix:
First Name:SONYA
Middle Name:D
Last Name:COLLINS
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 1:3114 RED OAK DR
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:TX
Mailing Address - Zip Code:76513-1031
Mailing Address - Country:US
Mailing Address - Phone:417-217-1128
Mailing Address - Fax:
Practice Address - Street 1:810 E 13TH AVE
Practice Address - Street 2:
Practice Address - City:BELTON
Practice Address - State:TX
Practice Address - Zip Code:76513-2298
Practice Address - Country:US
Practice Address - Phone:254-939-1876
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-09
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist