Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376159558 Individual Practitioner Female Practitioner

Colette Dominguez , MA CCC-SLP

Speech-Language Pathologist • Great Falls, MT

Professional Overview & Biography Verified Profile Summary

Colette Dominguez, MA CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Great Falls, MT. Practice services are available at 4428 4TH AVE N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4428 4th Ave N

Great Falls, MT 594051401

Telephone 3126393072
Associated Practice Facility / Clinic
🏢 Speechbliss Therapy, Llc Facility NPI 1053168104

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Great Falls, MT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
46 Specialists

Practicing in Great Falls, MT (570 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-05-06
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MT SLP-SP-LIC-12202

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License NV SP-2868

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License NM SLP7600

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location May 06, 2024

Registered at 4428 4TH AVE N, GREAT FALLS, MT 594051401 (Tel: 3126393072)

📍
Updated Business Mailing Address May 06, 2024

Registered at 4428 4TH AVE N, GREAT FALLS, MT 594051401 (Tel: 3126393072)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2024

Speech-Language Pathologist (License #SP-2868 in NV)

📍
Updated Practice Location January 23, 2022

Registered at 1461 COLUMBIA AVE, ALAMOGORDO, NM 883108013 (Tel: 3126393072)

📍
Updated Business Mailing Address January 23, 2022

Registered at 1461 COLUMBIA AVE, ALAMOGORDO, NM 883108013 (Tel: 3126393072)

👤
Provider Name / Credentials Updated January 23, 2022

Recorded as COLETTE DOMINGUEZ, MA CCC-SLP

NPI Profile Active September 22, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location September 22, 2020

Registered at 3985 W CHEYENNE AVE STE 306, NORTH LAS VEGAS, NV 890328907 (Tel: 7025154009)

📍
Updated Business Mailing Address September 22, 2020

Registered at 10697 W CENTENNIAL PKWY APT 2085, LAS VEGAS, NV 891661510

👤
Provider Name / Credentials Updated September 22, 2020

Recorded as COLETTE FORTIN, M. A., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2020

Speech-Language Pathologist

🟢
Initial NPI Registration & Enumeration September 22, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376159558
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 22, 2020
Last Update: May 06, 2024
Sole Proprietor: No

Mailing Address

4428 4th Ave N

Great Falls, MT 594051401

Phone: 3126393072

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.