MEDICARE: COLLEEN MARIE NOLAN CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	9913	NC
2	235Z00000X	Speech-Language Pathologist	15227	CA
3	235Z00000X	Speech-Language Pathologist	6995	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	12407831	OTHER	NC	CAQH
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265599955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLLEEN MARIE NOLAN CCC-SLP

Provider Business Mailing Address
First Line	:	521 KING EDWARD RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-4627
Country	:	US
Telephone Number	:	858-354-0453
Fax Number	:

Provider Business Practice Location Address
First Line	:	521 KING EDWARD RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-4627
Country	:	US
Telephone Number	:	858-354-0453
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	12/10/2025

Similar Medicare Providers

1235502519 — SOAR SPEECH THERAPY AND CONSULTING, PLLC
Practice Location Address:

521 KING EDWARD RD
CHARLOTTE, NC
28211-4627

Practice Phone: 858-354-0453
Practice Fax:

1881108512 — SUCCESS FOR LIFE INC
Practice Location Address:

4627 N SHARON AMITY RD
CHARLOTTE, NC
28205-4676

Practice Phone: 704-299-1263
Practice Fax:

1427914951 — BENCHMARK PHYSICAL THERAPY OF NC, LLC
Practice Location Address:

901 N WENDOVER RD STE B
CHARLOTTE, NC
28211-4871

Practice Phone: 980-431-4384
Practice Fax: 980-431-4385

1801752340 — CALEB WALLACE DPT
Practice Location Address:

3030 RANDOLPH RD STE 105A
CHARLOTTE, NC
28211-1365

Practice Phone: 704-512-4420
Practice Fax:

1174409817 — DR. HILLARY LAUREN BUZBY PHARMD
Practice Location Address:

3030 RANDOLPH RD STE 200
CHARLOTTE, NC
28211-1365

Practice Phone: 704-512-5000
Practice Fax:

1144186131 — LOGAN WATTS FNP-C
Practice Location Address:

501 S SHARON AMITY RD STE 300
CHARLOTTE, NC
28211-0035

Practice Phone: 704-377-2424
Practice Fax:

Directions to “ COLLEEN MARIE NOLAN CCC-SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.