| Doctor Name: | MS. LISA CALKINS VANDERPAN |
| NPI Number: | 1588933790 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., SLP-CCC |
| License Number: | 527 |
| Business Practice Address: | 510 S 14th St Livingston, MT - 590473731 |
| Business Phone Number: | 4062220672 |
| Business Fax Number: | |
| Mailing Address: | 536 Candlelight Dr, BOZEMAN |
| State: | MT |
| Postal Code: | 597187250 |
| Phone Number: | 4066001181 |
| Fax Number: | |
| NPI Enumeration Date: | 12/16/2011 |
| NPI Last Update Date: | 12/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 527 |
| 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 |