Selena Callaghan, MS,CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Cookeville, TN

NPI 1124429634 · NPPES record last updated May 30, 2025

Key facts

NPI
1124429634
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
4559 (TN)
Practice address
1694 W Broad St
Cookeville, TN 38501-2108
Phone
(931) 263-8908
NPI assigned
Sep 16, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4559TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Pediatric Therapy Center PLLC Past Accepting new patients
Coalesce Medical Services LLC Past
since Jun 15, 2025
Accepting new patients
Shine Pediatric Therapy Past
since Oct 1, 2012
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4559 TN Yes

Addresses

Primary practice location

1694 W Broad St
Cookeville, TN 38501-2108

Mailing address

68 Roland St
Crossville, TN 38555-5430
Phone (615) 626-1058

Other providers in Cookeville, TN

All providers in Cookeville, TN · Speech-Language Pathologist in Tennessee

Sources for this page

Verify at the official NPI Registry.