Individual
SUSAN J PEDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.C.C.C.S.L.P.
Contact information
Practice address
1325 EUCLID AVE STE 6, HELENA, MT 59601-2101
(406) 442-3002
(406) 442-2023
Mailing address
PMB 401, 201 EAST LYNDALE, HELENA, MT 59601
(406) 442-3002
(406) 442-2023
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
943
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0533477
—
MT
Enumeration date
10/31/2006
Last updated
07/09/2007
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