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NPI Code Detail

MEDICARE: JOANNA BUCHHOLZ MS-SLP

MEDICARE: JOANNA BUCHHOLZ MS-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
1235Z00000XSpeech-Language Pathologist1105MT

General Provider Information

NPI Number : 1407050305
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNA BUCHHOLZ MS-SLP
Provider Business Mailing Address
First Line : PO BOX 267
Second Line :
City : COLSTRIP
State : MT
Zip : 59323-0267
Country : US
Telephone Number : 406-740-0446
Fax Number :
Provider Business Practice Location Address
First Line : 2200 BOX ELDER ST
Second Line :
City : MILES CITY
State : MT
Zip : 59301-2899
Country : US
Telephone Number : 406-234-6034
Fax Number : 406-234-7018
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2007
Last Update Date : 07/08/2007

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Directions to “ JOANNA BUCHHOLZ MS-SLP” Practice Location

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