Individual
JILL JULIET IMSAND CHUMBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
612 E MAIN ST, #C, BOZEMAN, MT 59715-3719
(406) 522-3722
Mailing address
612 E MAIN ST, #C, BOZEMAN, MT 59715-3719
(406) 522-3722
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-SP-TMP-4100
MT
Other
Enumeration date
08/16/2014
Last updated
08/16/2014
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