Individual
MRS. EMILY H. STAFSLIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
408 WENDELL AVE, LEWISTOWN, MT 59457-2261
(406) 535-5157
Mailing address
408 WENDELL AVE, LEWISTOWN, MT 59457-2261
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
3671-154
WI
235Z00000X
Speech-Language Pathologist
Primary
SLP-SP-LIC-4023
MT
Other
Enumeration date
07/30/2012
Last updated
10/28/2014
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