Individual
COLLEEN LYNN MCSHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
5601 HIGHWAY 95 N STE 308C, LAKE HAVASU CITY, AZ 86404-8546
(928) 854-5439
(928) 854-5440
Mailing address
5601 HIGHWAY 95 N STE 308C, LAKE HAVASU CITY, AZ 86404-8546
(928) 854-5439
(928) 854-5440
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP4317
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046139
—
AZ
Enumeration date
01/01/2007
Last updated
10/18/2024
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