Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Colleen Marie Nolan, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1265599955

Colleen Marie Nolan, CCC-SLP is a Qualified Speech Language Pathologist in Charlotte, North Carolina. Qualified in 2004, 22 years ago. Practices with Collective Therapy Corp, a 72-clinician group and accepts Medicare assignment. Licensed in California, Massachusetts and North Carolina.

Years since qualifying
22
Licensed in
CA, MA, NC
In the registry since
2007
Specialties on file
3
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

521 King Edward Rd
Charlotte, NC 28211-4627
Phone: (858) 354-0453
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 9913 (NC)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 15227 (CA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 6995 (MA)

Record details

NPI number1265599955
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedJanuary 2, 2007
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Collective Therapy Corp — 72 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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