MEDICARE: CHRISTINE ANN CANIGLIA MS

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	607	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376705566
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE ANN CANIGLIA MS

Provider Business Mailing Address
First Line	:	637 N EWING ST
Second Line	:
City	:	HELENA
State	:	MT
Zip	:	59601-3604
Country	:	US
Telephone Number	:	406-461-2853
Fax Number	:

Provider Business Practice Location Address
First Line	:	637 N EWING ST
Second Line	:
City	:	HELENA
State	:	MT
Zip	:	59601-3604
Country	:	US
Telephone Number	:	406-461-2853
Fax Number	:

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

Provider Enumeration Date	:	06/28/2008
Last Update Date	:	09/16/2009

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Directions to “ CHRISTINE ANN CANIGLIA MS” Practice Location

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