Organization
BIG SKY SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA C GOODRICH MA (SPEECH-LANGUAGE PATHOLOGIST)
(406) 209-3583
Entity
Organization
Contact information
Practice address
100 SPRUCE CONE DR., UNIT 46, BIG SKY, MT 59716
(406) 209-3583
Mailing address
PO BOX 160694, BIG SKY, MT 59716-0694
(406) 209-3583
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
MT
Other
Enumeration date
04/19/2011
Last updated
04/19/2011
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