Wellformed AI

NPI 1639477045 · live from the CMS NPI Registry

Above & Beyond Speech Therapy

Speech-Language Pathologist, in Missoula, MT. National Provider Identifier 1639477045, active.

NPI record

NPI1639477045 Type 2 · organization
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location1931 S 3rd St W, Missoula, MT 59801
Practice phone406-829-6349
EnumeratedMarch 9, 2011
Last updatedMarch 9, 2011
Authorized officialKathy Love, Clinical Director

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, primary235Z00000X519 (MT)

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