Provider Demographics
NPI:1598870743
Name:HINTHER, RUTH FUGLEBERG
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:FUGLEBERG
Last Name:HINTHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RUTH
Other - Middle Name:
Other - Last Name:FUGLEBERG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MCSD, CCC-A
Mailing Address - Street 1:2831 FORT MISSOULA RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59804-7419
Mailing Address - Country:US
Mailing Address - Phone:406-542-5200
Mailing Address - Fax:406-542-1951
Practice Address - Street 1:2831 FORT MISSOULA RD
Practice Address - Street 2:SUITE 300
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59804-7419
Practice Address - Country:US
Practice Address - Phone:406-542-5200
Practice Address - Fax:406-542-1951
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT676231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0561391Medicaid
MT0532440Medicaid
MT0000029328OtherBLUE CROSS/BLUE SHIELD