Individual
SHERRI WIDHALM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
629 COYOTE LN, GREAT FALLS, MT 59404-3571
(406) 781-8748
Mailing address
629 COYOTE LANE, GREAT FALLS, MT 59404
(406) 781-8748
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-SP-TMP-2747
MT
Other
Enumeration date
12/19/2014
Last updated
12/19/2014
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