Colleen Macwilliam, MS SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

76521 Issued in MA

Practice address

337 Cotuit Road
Suite 7, Heritage Park Plaza
Forestdale, MA 02644

Phone

(508) 833-1060

Fax

(508) 833-2216

NPI assigned

Jun 26, 2017

Last updated

Jun 26, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blossom Speech Therapy LLC

  dba Blossom Speech Therapy

  • Speech-Language Pathologist
  • Lakeville, MA
  • NPI 1306626601
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498435200000",
    "number": "1083134522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 COTUIT ROAD",
            "city": "FORESTDALE",
            "state": "MA",
            "postal_code": "02644",
            "telephone_number": "508-833-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 COTUIT ROAD",
            "address_2": "SUITE 7, HERITAGE PARK PLAZA",
            "city": "FORESTDALE",
            "state": "MA",
            "postal_code": "02644",
            "telephone_number": "508-833-1060",
            "fax_number": "508-833-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACWILLIAM",
        "first_name": "COLLEEN",
        "credential": "MS SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2017-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "76521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Lally, PT
• Jessica Lee, RN
• Rene Lessard Reiss, RN
• Christy L Lin, OTR
• Judith H Lowitz
• Ciera Joyce Maffei, CPNP
• Lauren P Marble, M.S., CCC-SLP
• Carrie Virginia Marshall, PNP
• Alyssa Mignone
• Tracie Moulton, NP

• Speech-Language Pathologist in Forestdale, MA
• Providers in Forestdale, MA by specialty
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.