MEDICARE: CATHY FISHER M.S., CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	811	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	66285	OTHER	MT	BLUE CROSS & BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154319291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHY FISHER M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	2135 CHARLOTTE ST
Second Line	:	SUITE 3
City	:	BOZEMAN
State	:	MT
Zip	:	59718-2739
Country	:	US
Telephone Number	:	406-586-8030
Fax Number	:	406-586-8036

Provider Business Practice Location Address
First Line	:	2135 CHARLOTTE ST
Second Line	:	SUITE 3
City	:	BOZEMAN
State	:	MT
Zip	:	59718-2739
Country	:	US
Telephone Number	:	406-586-8030
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2005
Last Update Date	:	09/08/2008

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Directions to “ CATHY FISHER M.S., CCC-SLP” Practice Location

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