| NPI | 1497266084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE MATTINGLEY Owner/Speech Language Pathologist 406-730-3454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT SLP-SP-LIC-1221) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MT 2208) |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2017-10-23 |