Provider Demographics
NPI:1073386975
Name:SOUND START THERAPY OF MONTANA
Entity Type:Organization
Organization Name:SOUND START THERAPY OF MONTANA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:SHERRI
Authorized Official - Middle Name:R
Authorized Official - Last Name:WIDHALM
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:406-781-8748
Mailing Address - Street 1:629 COYOTE LN
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59404-3571
Mailing Address - Country:US
Mailing Address - Phone:406-781-8748
Mailing Address - Fax:
Practice Address - Street 1:629 COYOTE LN
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59404-3571
Practice Address - Country:US
Practice Address - Phone:406-781-8748
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-01
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty