Doctor Name: | JARI J WOCK |
NPI Number: | 1689821993 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | 1168 |
Business Practice Address: | 500 15th Ave S Great Falls, MT - 594054304 |
Business Phone Number: | 4064555944 |
Business Fax Number: | |
Mailing Address: | 500 15th Ave S, GREAT FALLS |
State: | MT |
Postal Code: | 594054304 |
Phone Number: | 4064555944 |
Fax Number: | |
NPI Enumeration Date: | 08/19/2008 |
NPI Last Update Date: | 08/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1168 |
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 |