Healthcare Provider Details

I. General information

NPI: 1437096195
Provider Name (Legal Business Name): KATHERINE E LEWIS SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 N 2ND ST APT A
HAMILTON MT
59840-2590
US

IV. Provider business mailing address

411 W ALDER ST APT 4
MISSOULA MT
59802-4154
US

V. Phone/Fax

Practice location:
  • Phone: 406-201-9213
  • Fax: 406-215-9002
Mailing address:
  • Phone: 612-385-2505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP-SP-LIC-14783
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: