Provider Demographics
NPI:1043406168
Name:NEURO REHAB ASSOCIATES, INC
Entity Type:Organization
Organization Name:NEURO REHAB ASSOCIATES, INC
Other - Org Name:CATHY FISHER, SPEECH-LANGUAGE PATHOLOGIST, INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCCC-SLP
Authorized Official - Phone:406-586-8030
Mailing Address - Street 1:2135 CHARLOTTE ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-2739
Mailing Address - Country:US
Mailing Address - Phone:406-586-8030
Mailing Address - Fax:406-586-8036
Practice Address - Street 1:2135 CHARLOTTE ST STE 3
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-2741
Practice Address - Country:US
Practice Address - Phone:406-586-8030
Practice Address - Fax:406-586-8036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-21
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT811235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty