Provider Demographics
NPI:1285286575
Name:COLLIER, KATHRYN L (SLP)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:L
Last Name:COLLIER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:C
Other - Last Name:PIELAGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:4760 E GALBRAITH RD STE 108
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-6704
Mailing Address - Country:US
Mailing Address - Phone:513-936-0500
Mailing Address - Fax:
Practice Address - Street 1:4760 E GALBRAITH RD STE 108
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-6704
Practice Address - Country:US
Practice Address - Phone:513-936-0500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-16
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.13541235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist