Doctor Name: | MOLLY ANN BECK |
NPI Number: | 1659429306 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 1034 |
Business Practice Address: | 44220 Us Highway 93 Ronan, MT - 598649600 |
Business Phone Number: | 4062501459 |
Business Fax Number: | |
Mailing Address: | Po Box 315, 44220 Hwy 93 South RONAN |
State: | MT |
Postal Code: | 598640315 |
Phone Number: | 4062501459 |
Fax Number: | |
NPI Enumeration Date: | 01/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1034 |
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 |