Individual
ANDREA VANDER ARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1112 2ND AVE E, KALISPELL, MT 59901-5806
(406) 871-3623
Mailing address
1112 2ND AVE E, KALISPELL, MT 59901-5806
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-SP-LIC-4992
MT
Other
Enumeration date
04/26/2016
Last updated
05/06/2016
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