Provider Demographics
NPI:1700935137
Name:COLLINS, ROBIN ANNETTE (MS,CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:ANNETTE
Last Name:COLLINS
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4248 MILLVIEW LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-3964
Mailing Address - Country:US
Mailing Address - Phone:214-505-6787
Mailing Address - Fax:
Practice Address - Street 1:4480 BELTWAY DR
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-3705
Practice Address - Country:US
Practice Address - Phone:214-505-6787
Practice Address - Fax:972-385-0405
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101280235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist