NPIMap

Organization Active NPI

Mission Valley Speech Therapy,LLC

  • Speech-Language Pathologist
  • Saint Ignatius, MT
National Provider Identifier
1922453018
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
812 Issued in MT
Legal business name
MISSION VALLEY SPEECH THERAPY,LLC
Practice address
32441 Mission Creek Rd
Saint Ignatius, MT 59865-9791
Phone
(406) 370-5776
Fax
(406) 745-4112
NPI assigned
Apr 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Authorized official

Name
Mrs. Mary Harney Callahan, MS, CCC-SLPNPI 1073939500
Title
President
Phone
(406) 370-5776

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 812 MT Primary

Addresses

Primary practice location

32441 Mission Creek Rd
Saint Ignatius, MT 59865-9791

Mailing address

32441 Mission Creek Rd
Saint Ignatius, MT 59865-9791
Phone (406) 370-5776

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1922453018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32441 MISSION CREEK RD",
            "city": "SAINT IGNATIUS",
            "state": "MT",
            "postal_code": "598659791",
            "telephone_number": "406-370-5776",
            "fax_number": "406-745-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32441 MISSION CREEK RD",
            "city": "SAINT IGNATIUS",
            "state": "MT",
            "postal_code": "598659791",
            "telephone_number": "406-370-5776",
            "fax_number": "406-745-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION VALLEY SPEECH THERAPY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "HARNEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-370-5776",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MT",
            "license": "812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Ignatius, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.