Colleen Irene Hardiman, MA CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Fairview, PA
NPI 1043740160 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1043740160
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SL013423 (PA)
- Practice address
- 900 Manchester Rd
Fairview, PA 16415-1703 - Phone
- (814) 838-4822
- NPI assigned
- Jun 13, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL013423 | PA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL013423 | PA | Yes |
Addresses
Primary practice location
900 Manchester Rd
Fairview, PA 16415-1703
Mailing address
900 Manchester Rd
Fairview, PA 16415-1703
Phone (814) 838-4822
Other practice location 1
419 Waterford St
Edinboro, PA 16412-5517
Phone (814) 734-5021
Other providers in Fairview, PA
- Bridget E Gartner
- Erin Giles
- Sarah Goard
- Lyudmila Grechanyy
- April Hannah
- Jaclyn Janice Harmon
- HCF of Fairview, Inc.
- Andrea Heberle
- Heritage Home Health of Erie, LLC
- Araceli C Hirtle
All providers in Fairview, PA · Speech-Language Pathologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.