Hart, Colleen M.

Hart, Colleen M. is an sole proprietor health care provider with primary practice located at 1031 W Indian Hills Pl , Phoenix AZ 85023-6278. 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. Hart, Colleen M. can be contacted via phone (602) 243-8600.

Contact Information

Primary practice address
1031 W Indian Hills Pl Phoenix AZ 85023-6278
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP0188 Arizona

Profile Details

NPI number 1720083009
LBN Legal business name Hart, Colleen M.
Credentials MACCCSLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2005
Last updated Jul 8th, 2007 - about 17 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 1720083009 NPPES
Arizona Other 463315 AHCCCS
Arizona Other AZ0143390 AHCCCS

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