Provider Demographics
NPI:1891902144
Name:ALLMARAS-WILLER, GERI ANNE (SLP, MS)
Entity Type:Individual
Prefix:
First Name:GERI
Middle Name:ANNE
Last Name:ALLMARAS-WILLER
Suffix:
Gender:F
Credentials:SLP, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1052 SUNFLOWER LN
Mailing Address - Street 2:
Mailing Address - City:SIDNEY
Mailing Address - State:MT
Mailing Address - Zip Code:59270-5601
Mailing Address - Country:US
Mailing Address - Phone:406-482-5053
Mailing Address - Fax:
Practice Address - Street 1:1052 SUNFLOWER LANE
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:MT
Practice Address - Zip Code:59270-5601
Practice Address - Country:US
Practice Address - Phone:406-482-5053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT471235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT532415Medicaid