NPI 1073107702 · live from the CMS NPI Registry
Maira Lara Ambris, SLP
Speech-Language Pathologist, in Polson, MT. National Provider Identifier 1073107702, active.
NPI record
| NPI | 1073107702 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 9 14th Ave W, Polson, MT 59860 |
| Practice phone | 406-883-4378 |
| Enumerated | February 23, 2021 |
| Last updated | June 3, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | PRD-SP-LIC-12708 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.