NPI 1821110206 · live from the CMS NPI Registry
Julie A Burke, M.S. CCC-SLP
Speech-Language Pathologist, in Polson, MT. National Provider Identifier 1821110206, active.
NPI record
| NPI | 1821110206 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 9 14th Ave W, Polson, MT 59860 |
| Practice phone | 406-883-4378 |
| Mailing address | 128 Buchanan St Sw, Ronan, MT 59864 |
| Enumerated | April 4, 2007 |
| Last updated | August 18, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | SP1081 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.