Individual
DR. JENNIFER L HARTZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
317 S ORANGE ST, MISSOULA, MT 59801-1810
(406) 549-1951
(406) 542-5682
Mailing address
317 S ORANGE ST, MISSOULA, MT 59801-1810
(406) 549-1951
(406) 542-5682
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
SLP-AU-LIC-734
MT
237600000X
Audiologist-Hearing Aid Fitter
SLP-AU-LIC-734
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0533273
—
MT
01
—
248
HEARING AID LIC
MT
01
—
29478
BCBS ALLIED PROVIDER
MT
05
—
5602792
—
MT
01
—
734
AUDIOLOGY LIC
MT
Enumeration date
03/07/2007
Last updated
02/07/2025
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