Doctor Name: | SARA MACPHERSON |
NPI Number: | 1275900144 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC-SLP |
License Number: | SLP-SP-LIC-5003 |
Business Practice Address: | 612 E Main St Suite C Bozeman, MT - 597153719 |
Business Phone Number: | 4065223722 |
Business Fax Number: | |
Mailing Address: | 129 Palette Ct, BOZEMAN |
State: | MT |
Postal Code: | 597158093 |
Phone Number: | 4065793597 |
Fax Number: | |
NPI Enumeration Date: | 08/27/2015 |
NPI Last Update Date: | 08/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP-SP-LIC-5003 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
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 |