Kirstin Bolton, MA CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Missoula, MT
NPI 1770841199 · NPPES record last updated Apr 24, 2012
Key facts
- NPI
- 1770841199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 1324 (MT)
- Practice address
- 1931 S 3Rd St W
Missoula, MT 59801-2241 - Phone
- (406) 829-6349
- NPI assigned
- Apr 24, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1324 | MT | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Above & Beyond Speech Therapy | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1324 | MT | Yes |
Addresses
Primary practice location
1931 S 3Rd St W
Missoula, MT 59801-2241
Mailing address
1931 S 3Rd St W
Missoula, MT 59801-2241
Other providers in Missoula, MT
- Joseph D Boland
- Amira Bolden
- Megan Francis Bolin
- Kaitlin Bolinske
- Bruce Allen Bollen
- Rebecca Ann Bombyk
- Joan Marie Bond-Deschamps
- Christine Kasper Bond
- Tyler Jameson Bond
- Edward Andrew Boniecki
All providers in Missoula, MT · Speech-Language Pathologist in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.