Wellformed AI

NPI 1366363376 · live from the CMS NPI Registry

Desiree Marie Brester, M.S. CCC-SLP

Speech-Language Pathologist, in Bozeman, MT. National Provider Identifier 1366363376, active.

NPI record

NPI1366363376 Type 1 · individual
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location3445 Blackbird Dr Apt 11, Bozeman, MT 59718
Practice phone541-743-5851
EnumeratedJuly 24, 2026
Last updatedJuly 24, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, primary235Z00000XPRD-SP-LIC-9669 (MT)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.