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General NPI Number Information
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NPI Number | 1750267175
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Entity Type | Organization
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Legal Business Name | HEADWAY - A THERAPY COLLECTIVE, PLLC
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 2945 BAYARD ST
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City | BUTTE
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State | MT
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Zip | 59701-4609
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Country | US
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Telephone | 406-201-8468
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Fax | 802-243-9655
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Provider Business Mailing Address
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Address Line | 2945 BAYARD ST
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City | BUTTE
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State | MT
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Zip | 59701-4609
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Country | US
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Telephone | 406-201-8468
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Fax | 802-243-9655
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST / OWNER
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Name | CASSIDY BARRY
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Credential | MS, CCC-SLP
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Telephone | 406-201-8468
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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