Provider Demographics
NPI:1114965266
Name:SLOVARP, LAURIE (THERAPIST)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:
Last Name:SLOVARP
Suffix:
Gender:F
Credentials:THERAPIST
Other - Prefix:
Other - First Name:LAURIE
Other - Middle Name:
Other - Last Name:BAKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:634 EDDY AVE,
Mailing Address - Street 2:CURRY HEALTH, LOWER LEVEL
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59812
Mailing Address - Country:US
Mailing Address - Phone:406-243-2405
Mailing Address - Fax:
Practice Address - Street 1:6018 COBURG LN
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59803-9500
Practice Address - Country:US
Practice Address - Phone:406-360-5740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1045235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist