Individual
LYNN V HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD CCC SPA
Contact information
Practice address
1515 S RESERVE ST STE 110, MISSOULA, MT 59801-4755
(406) 926-1969
(406) 926-1970
Mailing address
1515 S RESERVE ST STE 110, MISSOULA, MT 59801-4755
(406) 926-1969
(406) 926-1970
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
432
MT
235Z00000X
Speech-Language Pathologist
432
MT
237600000X
Audiologist-Hearing Aid Fitter
135
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0530995
—
MT
Enumeration date
06/27/2006
Last updated
06/17/2021
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