| Organization Name: | EASTER SEALS-GOODWILL NORTHERN ROCKY MOUNTAIN |
| NPI Number: | 1164697991 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY CHURCH (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 1537 Avenue D Suite 210 Billings |
| State: | MT US |
| Postal Code: | 591023048 |
| Phone Number: | 4062529600 |
| Fax Number: | |
| NPI Enumeration Date: | 04/23/2008 |
| NPI Last Update Date: | 09/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |