Individual
TINA PONCIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CFY-SLP
Contact information
Practice address
485 MILL CREEK RD, PRAY, MT 59065-0010
(406) 220-3699
Mailing address
PO BOX 10, PRAY, MT 59065-0010
(406) 220-3699
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-SP-TMP-5947
MT
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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