Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Colette Dominguez, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1376159558

Colette Dominguez, MACCC-SLP is a Speech-Language Pathologist in Great Falls, Montana. Licensed in Montana, New Mexico and Nevada. Registered with an NPI since 2020.

Licensed in
MT, NM, NV
In the registry since
2020
Specialties on file
3

Practice location Address checks out

4428 4th Ave N
Great Falls, MT 59405-1401
Phone: (312) 639-3072
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP-SP-LIC-12202 (MT)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence SP-2868 (NV)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence SLP7600 (NM)

Record details

NPI number1376159558
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorNo
NPI enumeratedSeptember 22, 2020
Last updated in NPPESMay 6, 2024
Certification dateMay 6, 2024
Mailing address4428 4th Ave N, Great Falls, MT 59405-1401

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