Individual
MS. LISA CALKINS VANDERPAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., SLP-CCC
Contact information
Practice address
510 S 14TH ST, LIVINGSTON, MT 59047-3731
(406) 222-0672
Mailing address
536 CANDLELIGHT DR, BOZEMAN, MT 59718-7250
(406) 600-1181
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
527
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
527
MONTANA STATE SLP LICENSE
MT
Enumeration date
12/16/2011
Last updated
12/16/2011
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