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COLETTE DOMINGUEZ MA CCC-SLP
NPI 1376159558
Speech-Language Pathologist in Great Falls, MT

Active since September 22, 2020
4428 4TH AVE N, GREAT FALLS, MT 59405(312) 639-3072 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2024, Feb 18, 2022, Jan 23, 2022 and 1 more (4 updates tracked since 2020).

About Colette Dominguez Ma Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLETTE DOMINGUEZ MA CCC-SLP (NPI 1376159558) is an individual speech-language pathologist provider in Great Falls, Montana, licensed in Montana (SLP-SP-LIC-12202) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1376159558
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameCOLETTE DOMINGUEZCredential: MA CCC-SLP
Location Address4428 4TH AVE NGreat Falls, MT 59405-1401
Mailing Address4428 4th Ave NGreat Falls, MT 59405-1401 · (312) 639-3072
Phone(312) 639-3072
Sole ProprietorNo
Enumeration DateSeptember 22, 2020
Last NPPES UpdateMay 6, 20244 updates tracked since enumeration
NPPES CertifiedMay 6, 2024
✔ NPI 1376159558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Licenses✔ Licensed in MT · SLP-SP-LIC-12202✔ Licensed in NV · SP-2868✔ Licensed in NM · SLP7600
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
4428 4TH AVE N, Great Falls, MT 59405
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Other Names 1

Former Name (1)Colette Fortin Ma Ccc-slp

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SPEECHBLISS THERAPY, LLC
Speech-Language Pathologist
4428 4TH AVE N
GREAT FALLS, MT 59405
Cascade County (575) 404-9152

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Colette Dominguez's NPI number?

The NPI number for Colette Dominguez is 1376159558. It was assigned to this individual provider in the NPPES registry on September 22, 2020. The provider is also known as Colette Fortin Ma Ccc-Slp.

Where is Colette Dominguez located?

Colette Dominguez practices at 4428 4th Ave N, Great Falls, MT 59405. The listed phone number is (312) 639-3072.

What is Colette Dominguez's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Colette Dominguez was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.