MEDICARE: SARAH COLLIER

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
1	235Z00000X	Speech-Language Pathologist	22008649A	IN

General Provider Information

NPI Number	:	1922858661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH COLLIER

Provider Business Mailing Address
First Line	:	15755 LAKE FOREST CT
Second Line	:
City	:	GRANGER
State	:	IN
Zip	:	46530-7058
Country	:	US
Telephone Number	:	574-440-5723
Fax Number	:

Provider Business Practice Location Address
First Line	:	15755 LAKE FOREST CT
Second Line	:
City	:	GRANGER
State	:	IN
Zip	:	46530-7058
Country	:	US
Telephone Number	:	574-440-5723
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2024
Last Update Date	:	04/04/2024

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Directions to “ SARAH COLLIER ” Practice Location

Language	Start Address	Practice Location

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