Healthcare Provider Details

I. General information

NPI: 1396516464
Provider Name (Legal Business Name): MRS. CHELSEA LYNN COLWELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHELSEA LYNN HEDDERMAN M.S., CCC-SLP

II. Dates (important events)

Enumeration Date: 01/09/2024
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 LOCUST ST STE 2100
PITTSBURGH PA
15219-5114
US

IV. Provider business mailing address

3961 E GUADALUPE RD STE 1
GILBERT AZ
85234-3266
US

V. Phone/Fax

Practice location:
  • Phone: 412-232-3687
  • Fax:
Mailing address:
  • Phone: 480-699-4845
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: