Individual
JANE REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 W KENT AVE, MISSOULA, MT 59801-6772
(406) 541-3277
(406) 541-3811
Mailing address
700 W KENT AVE, MISSOULA, MT 59801-6772
(406) 541-3277
(406) 541-3811
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-SP-TMP-4924
MT
235Z00000X
Speech-Language Pathologist
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Other
Enumeration date
09/15/2016
Last updated
05/03/2022
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