Colleen Lynn McShea, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP4317 Issued in AZ

Practice address

5601 Highway 95 N Ste 308C
Lake Havasu City, AZ 86404-8546

Phone

(928) 854-5439

Fax

(928) 854-5440

NPI assigned

Jan 1, 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

Other identifiers 1

Other names 1

• Colleen Lynn Wedekind Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Milemarkers Therapy Inc

  • Speech-Language Pathologist
  • Lake Havasu City, AZ
  • NPI 1649287327
  NPD Authorized official

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1386701431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 HIGHWAY 95 N STE 308C",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864048546",
            "telephone_number": "928-854-5439",
            "fax_number": "928-854-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 HIGHWAY 95 N STE 308C",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864048546",
            "telephone_number": "928-854-5439",
            "fax_number": "928-854-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCSHEA",
        "first_name": "COLLEEN",
        "middle_name": "LYNN",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-01",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP4317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046139",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "WEDEKIND",
            "middle_name": "LYNN",
            "credential": "MS, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julie M. McGuire, PA-C
• Sherry L McGuire, LMT
• Wendy L McGuire, PTA
• Grayson Fleming McHargue, CRNA
• Judith A McKee, CRNA
• MD Health, Inc.
• Mediterranean Mental Health Center, Inc.
• Megan S K Wiese MD PC
• Michael J Melde, DMD
• Mesquite Medical Associates,LTD

• Speech-Language Pathologist in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.