Individual
TERESA M ATHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
575 FOLEY LANE, HAMILTON, MT 59840-9008
(406) 363-6681
Mailing address
575 FOLEY LANE, HAMILTON, MT 59840-9008
(406) 363-6681
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
939
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0533324
—
MT
01
—
662190
BLUE CROSS BLUE SHIELD
MT
Enumeration date
03/01/2007
Last updated
07/08/2007
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