Provider Demographics
NPI:1083092704
Name:DELEHANTY, COLLEEN DALTON
Entity Type:Individual
Prefix:MS
First Name:COLLEEN
Middle Name:DALTON
Last Name:DELEHANTY
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:COLLEEN
Other - Middle Name:MARIE
Other - Last Name:DALTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1844 E 153RD CIR
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-2956
Mailing Address - Country:US
Mailing Address - Phone:913-787-6735
Mailing Address - Fax:
Practice Address - Street 1:1844 E 153RD CIR
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-2956
Practice Address - Country:US
Practice Address - Phone:913-787-6735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-14
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS00531235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist