Colleen Adair Selling, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP9927 Issued in CA

Practice address

1209 W Tokay St
Ste.8
Lodi, CA 95240-3845

Phone

(209) 367-8547

NPI assigned

May 3, 2007

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

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

• Speech Therapy Associates a Speech Language Pathology Corporation

  • Speech-Language Pathologist
  • Lodi, CA
  • NPI 1356493589
  NPD (past) Authorized official

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083826036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N CRESCENT AVE",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952401600",
            "telephone_number": "209-367-8547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 W TOKAY ST",
            "address_2": "STE.8",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952403845",
            "telephone_number": "209-367-8547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLING",
        "first_name": "COLLEEN",
        "middle_name": "ADAIR",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP9927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Schulz
• Connie Schwartz, L.AC.
• Kelly Ann Scully, MS, OTR/L
• Kari Ann Seaton
• Dustin Seibel, ATC
• Michael Joseph Semione, M.S. COUNSELING
• Senior Care Pharmacy of the West, LLC
• Simran Sethi, M.D.
• Hazoor Shah
• Share Homes

• Speech-Language Pathologist in Lodi, CA
• Providers in Lodi, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.