Doctor Name: | GDAYLINDA Q RADLEY |
NPI Number: | 1407156854 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | 1268 |
Business Practice Address: | 25 S Ewing St Suite 416 Helena, MT - 596015938 |
Business Phone Number: | 4064383434 |
Business Fax Number: | 4064441005 |
Mailing Address: | 1103 Woodbridge Dr, HELENA |
State: | MT |
Postal Code: | 596015479 |
Phone Number: | 4064383434 |
Fax Number: | 4064441005 |
NPI Enumeration Date: | 11/01/2010 |
NPI Last Update Date: | 09/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1268 |
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 |