Individual
COLLEEN MARIE NOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
521 KING EDWARD RD, CHARLOTTE, NC 28211-4627
(858) 354-0453
Mailing address
521 KING EDWARD RD, CHARLOTTE, NC 28211-4627
(858) 354-0453
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
15227
CA
235Z00000X
Speech-Language Pathologist
6995
MA
235Z00000X
Speech-Language Pathologist
Primary
9913
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12407831
CAQH
NC
05
—
7413745
—
NC
Enumeration date
01/02/2007
Last updated
12/10/2025
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