Colleen Marie Keller, MSCCCSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL002610L Issued in PA

Practice address

4017 Canal St
Pittsburgh, PA 15234-1836

Phone

(412) 306-8009

Fax

(414) 908-7370

NPI assigned

Aug 20, 2007

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188432000000",
    "number": "1174716575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4017 CANAL ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152341836",
            "telephone_number": "412-306-8009",
            "fax_number": "414-908-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4017 CANAL ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152341836",
            "telephone_number": "412-306-8009",
            "fax_number": "414-908-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "COLLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MSCCCSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL002610L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David John Keljo, MD,PHD
• Annmarie Ruth Kelleher, MS, OTR/L
• Michael S Kelleher Jr., M.D.
• Shay Amber Kelleher
• Aleksander William Keller, MD
• Evan S Keller, MD
• Jayme Keller
• Jennifer Marie Keller, PSY.D.
• Lisa Georgina Keller, RN
• Maria Lynn Keller, CRNA

• Speech-Language Pathologist in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.