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NPI Code Detail

MEDICARE: ANDREA LYNN COLLINS

MEDICARE: ANDREA LYNN COLLINS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist17005CA

General Provider Information

NPI Number : 1619822731
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA LYNN COLLINS
Provider Business Mailing Address
First Line : 4100 NORMAL ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-2653
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4100 NORMAL ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-2653
Country : US
Telephone Number : 619-725-5501
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

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Directions to “ ANDREA LYNN COLLINS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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