Provider Demographics
NPI:1194408302
Name:COLLIER, JOSEPH (MSLP)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:COLLIER
Suffix:
Gender:M
Credentials:MSLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7750 PARAGON RD
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45459-4050
Mailing Address - Country:US
Mailing Address - Phone:937-291-3780
Mailing Address - Fax:
Practice Address - Street 1:7750 PARAGON RD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45459-4050
Practice Address - Country:US
Practice Address - Phone:937-291-3780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-14
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist