| NPI | 1073386975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI R WIDHALM Speech Language Pathologist 406-781-8748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-11-01 |
| Last Update Date | 2024-02-26 |