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Individual

TANIS M TRENKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
1122 E MAIN ST, SUITE 4, BOZEMAN, MT 59715-3887
(406) 570-9465
(406) 582-4148
Mailing address
11 CANDLELIGHT DRIVE, BOZEMAN, MT 59718-6076
(406) 570-9465

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1111
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0534922
MT
05
0535119
MT
01
1548218852
ALLEGIANCE BENEFIT PLAN MANAGEMENT, INC.
MT
01
662480
BCBS PRIVATE
MT
Enumeration date
05/05/2006
Last updated
07/19/2013
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