Holly J Wagley in Bozeman - Speech-language Pathologist
Holly J Wagley - NPI 1871690875
Holly J Wagley is a Speech-language Pathologist in Bozeman, Montana. Holly J Wagley practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Holly J Wagley is 1871690875. The last update date is 2009-02-06.
Holly J Wagley's current location address is 520 N Black Ave, Bozeman, Montana. You can contact this provider via phone number 7047960610. The mailing address for Holly J Wagley is 520 N Black Ave, Bozeman, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Holly J Wagley |
|---|---|
| Address | 520 N Black Ave, Bozeman, Montana |
| Phone Number | 7047960610 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MSP, CCC-S |
NPI Number Detail
| NPI Number | 1871690875 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2009-02-06 |
Provider Mailing Address Detail
| Address | 520 N Black Ave |
|---|---|
| City | Bozeman |
| State | Montana (MT) |
| Post Code | 597153613 |
| Phone Number | 7047960610 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | SA8682 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1206 | MT | LICENSE | |
| SA8682 | FL | SLP STATE LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Holly J Wagley by the Centers for Medicare & Medicaid Services (CMS)?
The Holly J Wagley has been assigned the NPI (National Provider Identifier) 1871690875. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Holly J Wagley is physically located?
The Holly J Wagley is situated at the following address: 520 N Black Ave, Bozeman, MT 597153613.
What is the Holly J Wagley's area of specialization and corresponding taxonomy classification?
The Holly J Wagley's specialty field is Speech-language Pathologist, and it falls under the taxonomy code 235Z00000X, which categorizes healthcare providers based on their specialties.
On what date did the Holly J Wagley receive its 1871690875 assignment from the Centers for Medicare & Medicaid Services?
The Holly J Wagley was assigned its 1871690875 by the Centers for Medicare & Medicaid Services on 2006-09-20.
When was the Holly J Wagley's information last updated?
The Holly J Wagley's information was last updated on 2009-02-06.