Individual
MRS. MICHELLE C WISHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
10 COLD CREEK RANCH RD, WINSTON, MT 59647-8503
(406) 240-7249
Mailing address
10 COLD CREEK RANCH RD, WINSTON, MT 59647-8503
(406) 240-7249
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
112281
TX
235Z00000X
Speech-Language Pathologist
Primary
SP 1004
MT
235Z00000X
Speech-Language Pathologist
SP 24151
CA
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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