Individual
SHELLY NYSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 3RD AVE STE 208, HAVRE, MT 59501-3577
(406) 344-8080
Mailing address
4091 9TH ST W, HAVRE, MT 59501-6814
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PRD-SP-LIC-844
MT
Other
Enumeration date
08/06/2026
Last updated
08/06/2026
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