Doctor Name: | MRS. NICHOLE MARIE WILTSHIRE-SCALA |
NPI Number: | 1326241787 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SP986 |
Business Practice Address: | 720 Stoneridge Dr Unit 2 Bozeman, MT - 597187032 |
Business Phone Number: | 4065865609 |
Business Fax Number: | 4065865609 |
Mailing Address: | 15 Blue Grouse Ct, BOZEMAN |
State: | MT |
Postal Code: | 597150648 |
Phone Number: | 4065865609 |
Fax Number: | 4065865609 |
NPI Enumeration Date: | 06/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP986 |
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 |