Individual
RONNY STEVEN MOATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-SLP
Contact information
Practice address
634 EDDY AVE, MISSOULA, MT 59812-1851
(406) 243-2377
(406) 243-2362
Mailing address
634 EDDY AVE, MISSOULA, MT 59812-1851
(406) 243-2377
(406) 243-2362
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-SP-LIC-5926
MT
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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