Gwen Fay Nowak, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

482 Issued in MT

Practice address

1304 13TH St S
Great Falls, MT 59405-4611

Phone

(406) 727-1088

Fax

(406) 770-3069

NPI assigned

Feb 3, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Great Falls Scottish Rite Childhood Language Disorders Clinic Inc

  • Speech-Language Pathologist
  • Great Falls, MT
  • NPI 1154014843
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1508562265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 13TH ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054611",
            "telephone_number": "406-727-1088",
            "fax_number": "406-770-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 13TH ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054611",
            "telephone_number": "406-727-1088",
            "fax_number": "406-770-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWAK",
        "first_name": "GWEN",
        "middle_name": "FAY",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MT",
            "license": "482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northland Hearing Centers Inc
• Northstar Anesthesia of Montana
• Ann Marie Norton, OTR/L
• Nora Elizabeth Norum, MD
• Linda Nottingham, LAC
• NP Clinic Resources Inc
• Kelli Diane O'Brien, MSC
• Courtney Erin O'Connor, LCPC
• Elizabeth A Oconnor, FNP APRN MSN CCRN
• Deborah L Oleynik, ND

• Speech-Language Pathologist in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Speech-Language Pathologist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.