Provider Demographics
NPI:1770993156
Name:DILLON, BRANDY M (HIS)
Entity type:Individual
Prefix:MRS
First Name:BRANDY
Middle Name:M
Last Name:DILLON
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 N 27TH ST
Mailing Address - Street 2:E
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-0101
Mailing Address - Country:US
Mailing Address - Phone:406-245-6893
Mailing Address - Fax:406-245-9954
Practice Address - Street 1:2631 SAINT JOHNS AVE # 1
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-4656
Practice Address - Country:US
Practice Address - Phone:406-656-2003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-06
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT392237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist