| NPI | 1114750114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEY JEAN LYNDES GLYNN Speech Language Pathologist 406-285-1989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-08-23 |
| Last Update Date | 2024-09-13 |