NPI 1801553672 · live from the CMS NPI Registry
Cailen Danielle Bosch
Speech-Language Pathologist, in Missoula, MT. National Provider Identifier 1801553672, active.
NPI record
| NPI | 1801553672 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 2321 S 3rd St W, Missoula, MT 59801 |
| Practice phone | 406-214-3131 |
| Mailing address | 401 Hiberta St, Missoula, MT 59804 |
| Enumerated | November 29, 2021 |
| Last updated | November 29, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | SLP-SP-LIC-8818 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.