NPI 1346894912 · live from the CMS NPI Registry
Margot Grace Diffendaffer, CCC-SLP
Speech-Language Pathologist, in Missoula, MT. National Provider Identifier 1346894912, active.
NPI record
| NPI | 1346894912 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 2827 Fort Missoula Rd, Missoula, MT 59804 |
| Practice phone | 406-327-4100 |
| Mailing address | 431 Woodworth Ave, Missoula, MT 59801 |
| Enumerated | July 31, 2019 |
| Last updated | October 15, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.