Individual
MRS. TRICIA A OPSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
815 ELM STREET, MISSOULA, MT 59802-2451
(406) 531-4249
(406) 258-0638
Mailing address
815 ELM STREET, MISSOULA, MT 59802-2451
(406) 531-4249
(406) 258-0638
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
MT 3161
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
332E6135E6
—
MT
Enumeration date
07/05/2012
Last updated
01/26/2017
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