| Doctor Name: | MS. VIDA LANDA |
| NPI Number: | 1992916944 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MED, MS, CCC-SLP |
| License Number: | 910 |
| Business Practice Address: | 102 N Jordan Ave Miles City, MT - 593013717 |
| Business Phone Number: | 4068532971 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1427, MILES CITY |
| State: | MT |
| Postal Code: | 593011427 |
| Phone Number: | 4068532971 |
| Fax Number: | |
| NPI Enumeration Date: | 05/24/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 910 |
| 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 |