| NPI | 1679293740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L RECTOR Speech Language Pathologist 406-422-9633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2023-10-02 |