Mcshea, Colleen Lynn

Mcshea, Colleen Lynn is an individual health care provider with primary practice located at 1515 N. Lake Havasu Ave. Suite 100, Lake Havasu City AZ 86404. 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. Mcshea, Colleen Lynn can be contacted via phone (928) 854-5439.

Contact Information

Primary practice address
1515 N. Lake Havasu Ave. Suite 100 Lake Havasu City AZ 86404
Phone: (928) 854-5439
Fax: (928) 854-5440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP4317 Arizona

Profile Details

NPI number 1386701431
LBN Legal business name Mcshea, Colleen Lynn
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 1st, 2007
Last updated Aug 16th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386701431 NPPES
Arizona MEDICAID 046139

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