NPI 1497266084 · live from the CMS NPI Registry
Big Sky Therapy Associates, Pllp
Speech-Language Pathologist, in Whitefish, MT. National Provider Identifier 1497266084, active.
NPI record
| NPI | 1497266084 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 100 2nd St E Ste 322, Whitefish, MT 59937 |
| Practice phone | 406-730-3454 |
| Mailing address | Po Box 404, Whitefish, MT 59937 |
| Enumerated | October 23, 2017 |
| Last updated | October 23, 2017 |
| Authorized official | Katie Mattingley, Owner/Speech- Language Pathologist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical Child & Adolescent | 103TC2200X | 2208 (MT) |
| Speech-Language Pathologist, primary | 235Z00000X | SLP-SP-LIC-1221 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.