Dominguez, Colette

Dominguez, Colette is an individual health care provider with primary practice located at 4428 4Th Ave N , Great Falls MT 59405-1401. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Dominguez, Colette can be contacted via phone (312) 639-3072.

Contact Information

Primary practice address
4428 4Th Ave N Great Falls MT 59405-1401
Phone: (312) 639-3072
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP-2868 Nevada
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP7600 New Mexico
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP-SP-LIC-12202 Montana

Profile Details

NPI number 1376159558
LBN Legal business name Dominguez, Colette
Credentials MA CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2020
Last updated May 6th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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