Doctor Name: | TANIS M TRENKA |
NPI Number: | 1548218852 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 1111 |
Business Practice Address: | 1122 E Main St Suite 4 Bozeman, MT - 597153887 |
Business Phone Number: | 4065709465 |
Business Fax Number: | 4065824148 |
Mailing Address: | 11 Candlelight Drive, BOZEMAN |
State: | MT |
Postal Code: | 597186076 |
Phone Number: | 4065709465 |
Fax Number: | |
NPI Enumeration Date: | 05/05/2006 |
NPI Last Update Date: | 07/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1111 |
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 |