Colleen Jessica Lavallee, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

013662 Issued in NY

Practice address

Center for Disability SVCS, Inc - Langan School
314 South Manning Blvd
Albany, NY 12208-1708

Phone

(518) 437-5639

Fax

(518) 437-5736

NPI assigned

Sep 20, 2006

Last updated

Sep 19, 2018By the provider in NPPES

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 Jessica Henzel Former name

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1699872424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CENTER FOR DISABILITY SVCS, INC - LANGAN SCHOOL",
            "address_2": "314 SOUTH MANNING BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081708",
            "telephone_number": "518-437-5639",
            "fax_number": "518-437-5736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTER FOR DISABILITY SVCS, INC - LANGAN SCHOOL",
            "address_2": "314 SOUTH MANNING BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081708",
            "telephone_number": "518-437-5639",
            "fax_number": "518-437-5736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVALLEE",
        "first_name": "COLLEEN",
        "middle_name": "JESSICA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "013662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00013662",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "HENZEL",
            "middle_name": "JESSICA",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly Laughton, PA
• Juliana Norris Laurenzi, LCSW-R
• Samantha Scanu Lauzon, PT, DPT, CSCS
• Jennifer Ann Lavado, MA
• Danielle Mary Laval, M.S.ED., CCC-SLP
• Valerie Anne Lavash
• Samantha Lavertue, DO
• Joyce Lavery, RN
• Gregory Lloyd Lavigne, M.D.
• Jane Ann Lavigne, APN

• Speech-Language Pathologist in Albany, NY
• Providers in Albany, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.