Individual
CHRISTINE A MERRIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
634 EDDY AVE, MISSOULA, MT 59812-1851
(406) 243-2439
(406) 243-4730
Mailing address
413 EVANS AVE, MISSOULA, MT 59801-5827
(406) 531-9352
(406) 243-4730
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
359
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0535058
—
MT
01
—
662510
BCBSMT
MT
Enumeration date
11/02/2005
Last updated
07/09/2007
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