Individual
LORRAINE THUNSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., SLP-CF
Contact information
Practice address
3018 RATTLESNAKE DR, MISSOULA, MT 59802-6101
(406) 549-0988
Mailing address
1438 HAYES DR, MISSOULA, MT 59808-1232
(406) 544-9197
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-LTD-LIC-49
MT
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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