Individual
TANA THORLEY WHICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
205 S HAYNES AVE UNIT 2, MILES CITY, MT 59301-4779
(406) 233-4327
(406) 233-3985
Mailing address
2206 MAIN ST, MILES CITY, MT 59301-3802
(406) 234-2387
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
965
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0531539
—
MT
01
—
660170
BLUE CROSS NUMBER
MT
Enumeration date
02/05/2007
Last updated
05/19/2023
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