NPI 1629130984 · live from the CMS NPI Registry
Judy K Benko, M.A. CCC-Sp
Speech-Language Pathologist, in Red Lodge, MT. National Provider Identifier 1629130984, active.
NPI record
| NPI | 1629130984 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 600 West 21st St, Red Lodge, MT 59068 |
| Practice phone | 406-446-2345 |
| Mailing address | Po Box 590, Red Lodge, MT 59068 |
| Enumerated | December 14, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 1020 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.