Doctor Name: | CHRISTINE A MERRIMAN |
NPI Number: | 1295726826 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC-SLP |
License Number: | 359 |
Business Practice Address: | 634 Eddy Ave Missoula, MT - 598121851 |
Business Phone Number: | 4062432439 |
Business Fax Number: | 4062434730 |
Mailing Address: | 413 Evans Ave, MISSOULA |
State: | MT |
Postal Code: | 598015827 |
Phone Number: | 4065319352 |
Fax Number: | 4062434730 |
NPI Enumeration Date: | 11/02/2005 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 359 |
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 |