Provider Demographics
NPI:1437672631
Name:HEDGE, CHLOE MICHELE (MS CF SLP)
Entity Type:Individual
Prefix:MRS
First Name:CHLOE
Middle Name:MICHELE
Last Name:HEDGE
Suffix:
Gender:F
Credentials:MS CF SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1597 AVENUE D STE 4
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-3010
Mailing Address - Country:US
Mailing Address - Phone:406-690-6996
Mailing Address - Fax:
Practice Address - Street 1:1597 AVENUE D STE 4
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-3010
Practice Address - Country:US
Practice Address - Phone:406-690-6996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTSLP-LTD-LIC-13235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist