Doctor Name: | MR. KYLE ARCHBOLD |
NPI Number: | 1356691216 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS CCC-SLP |
License Number: | 1329 |
Business Practice Address: | 1233 N 30th St Billings, MT - 591010127 |
Business Phone Number: | 4062377161 |
Business Fax Number: | |
Mailing Address: | 609 Cleveland St, ENDERLIN |
State: | ND |
Postal Code: | 580271357 |
Phone Number: | 7016785128 |
Fax Number: | |
NPI Enumeration Date: | 09/18/2012 |
NPI Last Update Date: | 09/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1329 |
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 |