Doctor Name: | MRS. AMY ELLEN LINCOLN |
NPI Number: | 1538311030 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD, CCC-SLP |
License Number: | 1195 |
Business Practice Address: | 612 E Main St Ste C Bozeman, MT - 597153726 |
Business Phone Number: | 4065223722 |
Business Fax Number: | 4065220018 |
Mailing Address: | 2962 Sentinel Dr, BOZEMAN |
State: | MT |
Postal Code: | 597158724 |
Phone Number: | 4065874252 |
Fax Number: | |
NPI Enumeration Date: | 10/15/2008 |
NPI Last Update Date: | 10/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1195 |
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 |