| NPI | 1306429097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE FOLEY Credentialing 406-329-7598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2021-06-22 |