Provider Demographics
NPI:1962997593
Name:COLLINSON, CASIE M (AUD)
Entity type:Individual
Prefix:
First Name:CASIE
Middle Name:M
Last Name:COLLINSON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 LINEBROOK RD
Mailing Address - Street 2:
Mailing Address - City:IPSWICH
Mailing Address - State:MA
Mailing Address - Zip Code:01938-2902
Mailing Address - Country:US
Mailing Address - Phone:978-685-7550
Mailing Address - Fax:508-368-3104
Practice Address - Street 1:198 MASSACHUSETTS AVE
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-4143
Practice Address - Country:US
Practice Address - Phone:978-685-7550
Practice Address - Fax:978-686-5565
Is Sole Proprietor?:No
Enumeration Date:2018-06-26
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4738231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist