NPI 1356750475 · live from the CMS NPI Registry
Mary Katheryn Bark, MS
Speech-Language Pathologist, in Bozeman, MT. National Provider Identifier 1356750475, active.
NPI record
| NPI | 1356750475 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 612 E Main St Ste C, Bozeman, MT 59715 |
| Practice phone | 406-522-3722 |
| Mailing address | 524 S 5th Ave, Bozeman, MT 59715 |
| Enumerated | August 4, 2014 |
| Last updated | August 4, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | SLP-SP-TMP-4087 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.