Individual
MRS. SALLY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. SLP
Contact information
Practice address
3335 LT MOSS RD, MISSOULA, MT 59804-7222
(406) 549-6413
(406) 542-0143
Mailing address
3335 LT MOSS RD, MISSOULA, MT 59804-7222
(406) 549-6413
(406) 542-0143
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-SP-TMP-3216
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP-SP-TMP-3216
MONTANA DEPARTMENT OF LABOR AND INDUSTRY
MT
Enumeration date
09/04/2013
Last updated
12/14/2022
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