| NPI | 1093201964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE BRYSON Speech Language Pathologist (Owner) 406-579-3849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT SLP-SP-LIC-3139) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2018-07-03 |