MRS. COLLEEN ROBBINS POUQUETTE (NPI# 1881632578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881632578 |
| Entity Type | Individual |
| Full Name | MRS. COLLEEN ROBBINS POUQUETTE |
| Credential | MS CCC-SLP |
| Practice Address |
812 Valley St Prescott AZ 86305-1826 |
| Mailing Address |
Po Box 11312 Prescott AZ 86304-1312 |
| Practice Telephone | 9284451309 |
| Practice Fax Number | 9284450914 |
| Mailing Telephone | 9284451309 |
| Mailing Fax Number | 9284450914 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2013-10-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | AZSLP0044 | AZ | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ASHA MEMBERSHIP | 00804385 | 01 |
| Street Address |
812 VALLEY ST |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86305-1826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897651 | Lindsey Kate Adams | Specialist/Technologist | 812 Valley St, Prescott, AZ 86305-1826 | 2020-09-24 |
| 1033771548 | Rachel Johnson | Specialist/Technologist | 812 Valley St, Prescott, AZ 86305-1826 | 2019-07-03 |
| 1134608417 | Karyn Marie Bee | Specialist/Technologist | 812 Valley St, Prescott, AZ 86305-1826 | 2018-08-08 |
| 1992213706 | Shelby Rae Welch | Specialist/Technologist | 812 Valley St, Prescott, AZ 86305-1826 | 2018-01-15 |
| 1952820664 | Kendall Soheir Lohman | Specialist/Technologist | 812 Valley St, Prescott, AZ 86305-1826 | 2017-09-13 |
| 1841715109 | Heather Anne Donovan | Specialist/Technologist | 812 Valley St, Prescott, AZ 86305-1826 | 2017-08-08 |
| 1063873487 | Anjaneane Love Coambs | Counselor | 812 Valley St, Prescott, AZ 86305-1826 | 2016-03-12 |
| 1932500618 | Lisa A Rollin | Speech-Language Pathologist | 812 Valley St, Prescott, AZ 86305-1826 | 2014-09-11 |
| 1457790917 | Courtney Anne Brimm | Specialist/Technologist | 812 Valley St, Prescott, AZ 86305-1826 | 2013-06-18 |
| 1467638148 | Raymond W. Lemberg,ph.d., P.C. | Psychologist | 812 Valley St, Prescott, AZ 86305-1826 | 2008-01-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972005395 | Granite View Adult Care Home LLC | Assisted Living Facility | 7105 Williamson Valley Road, Prescott, AZ 86305 | 2018-03-01 |
| 1215468095 | Valerie Williams | Occupational Therapist | 926 S. Hinman Dr., Prescott, AZ 86305 | 2017-03-23 |
| 1174073837 | Caspian Gleam Medical Center LLC | Clinic/Center | 3130 Stillwater Drive, Suite B, Prescott, AZ 86305 | 2016-10-06 |
| 1114388634 | Marla Beth Perkins | Speech-Language Pathologist | 3160 Stillwater Dr., Prescott, AZ 86305 | 2016-03-10 |
| 1790159853 | Michele A. Bibeau, D.d.s. | Dentist | 1058 Fair Street, Suite A, Prescott, AZ 86305 | 2015-11-30 |
| 1609264837 | Integrative Pain Centres of Prescott | Pain Medicine | 3769 Crossings Drive, Suite B, Integrative Pain Centres of Prescott, Prescott, AZ 86305 | 2014-12-22 |
| 1649697251 | Sharon Marilyn Jackson | Counselor | 3636 Crossings Drive, Prescott, AZ 86305 | 2014-03-20 |
| 1215351259 | Stefanie Maneval | Registered Nurse | 900 Iron Springs Rd, Prescott, AZ 86305 | 2014-02-11 |
| 1508207523 | Recovery In The Pines, LLC | Community/Behavioral Health | 919 12th Place #13, Prescott, AZ 86305 | 2013-07-08 |
| 1871857359 | Neal Herbert Segovia Cabaluna | Internal Medicine | 3773 Crossings Dr Ste C, Prescott, AZ 86305 | 2012-06-28 |
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| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457959835 | Kristin Moore | Speech-Language Pathologist | 311 S Summit Ave, Prescott, AZ 86303-4115 | 2020-10-16 |
| 1114388634 | Marla Beth Perkins | Speech-Language Pathologist | 3160 Stillwater Dr., Prescott, AZ 86305 | 2016-03-10 |
| 1265830491 | Kelly Sue Smith | Speech-Language Pathologist | 210 Starpine Pl Unit A, Prescott, AZ 86303-7017 | 2014-12-22 |
| 1215345343 | Md Therapies LLC | Speech-Language Pathologist | 1801 Meadowridge Rd, Prescott, AZ 86305-5254 | 2014-08-01 |
| 1790119782 | Stephanie Hearn | Speech-Language Pathologist | 702 Flora St, Prescott, AZ 86301-1138 | 2013-08-26 |
| 1376892026 | Juanita Tabarez | Speech-Language Pathologist | 212 W Hillside Ave, Apt A, Prescott, AZ 86301-7502 | 2012-09-07 |
| 1407110836 | Jayne R Mcmanigal | Speech-Language Pathologist | 2900 W Crestview Dr, Prescott, AZ 86305-7007 | 2012-06-29 |
| 1578841086 | Andrea L Toliver-smith | Speech-Language Pathologist | 504 E 4th St N, Prescott, AR 71857-2254 | 2011-08-01 |
| 1003122243 | Patricia Ann Brown | Speech-Language Pathologist | 3176 Dome Rock Pl, Unit 14b, Prescott, AZ 86301-6602 | 2010-08-25 |
| 1548584295 | Julia Ascoly | Speech-Language Pathologist | 1986 Forest Vw, Prescott, AZ 86305-5112 | 2010-03-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.