NPI 1518300698
Catherine Anne Wade Collie
Practice location
- Address
- 1308 Black Diamond Dr, Carbondale, IL 62901-5103
- Phone
- (618) 529-0275
- Fax
- (618) 529-0275
Registered specialties
Developmental Therapist
Primary
Registry record
- NPI
- 1518300698
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Apr 2013
- Record last updated
- 9 Apr 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.