Active NPI
Colleen Marie Moylan, M.A. CCC-SLP
- Speech-Language Pathologist
- Sandwich, MA
National Provider Identifier
1225468598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 9449
- Practice address
- 280 Route 130 Ste 7D
Sandwich, MA 02563-2363 - Phone
- (508) 833-4000
- NPI assigned
- Nov 22, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 9449 | MA | Primary |
Addresses
Primary practice location
280 Route 130 Ste 7D
Sandwich, MA 02563-2363
Mailing address
280 Route 130 Ste 7D
Sandwich, MA 02563-2363
Phone (508) 833-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9449 | MA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444003200000",
"number": "1225468598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 ROUTE 130 STE 7D",
"city": "SANDWICH",
"state": "MA",
"postal_code": "025632363",
"telephone_number": "508-833-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 ROUTE 130 STE 7D",
"city": "SANDWICH",
"state": "MA",
"postal_code": "025632363",
"telephone_number": "508-833-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOYLAN",
"first_name": "COLLEEN",
"middle_name": "MARIE",
"credential": "M.A. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-22",
"last_updated": "2015-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "9449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sandwich, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.