NPI 1811284847 · live from the CMS NPI Registry
Lacey Cleveland, MS CCC-SLP
Speech-Language Pathologist, in Miles City, MT. National Provider Identifier 1811284847, active.
NPI record
| NPI | 1811284847 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 2600 Wilson St, Miles City, MT 59301 |
| Practice phone | 406-233-2719 |
| Mailing address | 4905 S Bay Dr Se, Mandan, ND 58554 |
| Enumerated | June 28, 2011 |
| Last updated | June 28, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 1294 (MT) |
| Speech-Language Pathologist, | 235Z00000X | 3141 (KS) |
| Speech-Language Pathologist, | 235Z00000X | 1158 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.