| NPI | 1417221649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELDON L JENSEN Owner 406-698-8220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MT 1030) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-03-06 |