NPI 1093298648 · live from the CMS NPI Registry
Allegra Rose Bereszniewicz, M.S., CCC-SLP
Speech-Language Pathologist, in Bozeman, MT. National Provider Identifier 1093298648, active.
NPI record
| NPI | 1093298648 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 2075 Charlotte St Ste 1, Bozeman, MT 59718 |
| Practice phone | 406-556-9853 |
| Enumerated | September 10, 2018 |
| Last updated | October 20, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, | 235Z00000X | 77309 (MA) |
| Speech-Language Pathologist, | 235Z00000X | — |
| Speech-Language Pathologist, primary | 235Z00000X | 9662 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.