Individual
SHAWNAJO MARIE POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
700 W KENT AVE, MISSOULA, MT 59801-6772
(406) 541-3277
(406) 541-3811
Mailing address
3310 MONROE AVE STE 4, BUTTE, MT 59701-3820
(406) 494-3995
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
6614
MT
237600000X
Audiologist-Hearing Aid Fitter
6614
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP-AU-LIC-6614
MONTANA BOARD OF SPEECH-LANGUAGE PATHOLOGISTS AND AUDIOLOGISTS
MT
Enumeration date
07/31/2017
Last updated
04/23/2024
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