Colleen Devin Serlin, M.S. CCC- SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.011741 Issued in IL

Practice address

4921 W 105TH St
Oak Lawn, IL 60453-5227

Phone

(773) 870-1531

NPI assigned

Aug 28, 2012

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1366790909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 W 105TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535227",
            "telephone_number": "773-870-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 W 105TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535227",
            "telephone_number": "773-870-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERLIN",
        "first_name": "COLLEEN",
        "middle_name": "DEVIN",
        "credential": "M.S. CCC- SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.011741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.