Individual
MARY KATHERYN BARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
612 E MAIN ST STE C, BOZEMAN, MT 59715-3726
(406) 522-3722
Mailing address
524 S 5TH AVE, BOZEMAN, MT 59715-4521
(206) 550-9658
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-SP-TMP-4087
MT
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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