Provider Demographics
NPI:1194191122
Name:HASTINGS, COLEEN (CCC/SLP)
Entity type:Individual
Prefix:MS
First Name:COLEEN
Middle Name:
Last Name:HASTINGS
Suffix:
Gender:F
Credentials:CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1912 E HIGHWAY 34
Mailing Address - Street 2:
Mailing Address - City:PLATTSMOUTH
Mailing Address - State:NE
Mailing Address - Zip Code:68048-5676
Mailing Address - Country:US
Mailing Address - Phone:402-296-3174
Mailing Address - Fax:
Practice Address - Street 1:1912 E HIGHWAY 34
Practice Address - Street 2:
Practice Address - City:PLATTSMOUTH
Practice Address - State:NE
Practice Address - Zip Code:68048-5676
Practice Address - Country:US
Practice Address - Phone:402-296-3174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-13
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist