KIMBERLY J STAVLO (NPI# 1891916318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891916318 |
| Entity Type | Individual |
| Full Name | KIMBERLY J STAVLO |
| Credential | SLP |
| Practice Address |
310 Main Street Deer Lodge MT 59722 |
| Practice Telephone | 4068463448 |
| Practice Fax Number | 4068462298 |
| Mailing Telephone | 4068463448 |
| Mailing Fax Number | 4068462298 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0052494 | 05 |
| Street Address |
310 MAIN STREET |
| City | DEER LODGE |
| State | MT |
| Zip Code | 59722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891083937 | Summera Qamar | Family Medicine | 1100 Hollenback Ln., Deer Lodge, MT 59722 | 2011-07-11 |
| 1164453932 | Judith H Wilson | Legal Medicine | 1100 Hollenback Ln, Deer Lodge, MT 59722 | 2006-07-06 |
| 1700825478 | Powell County Ambulance Service Inc | Ambulance | 1101 Texas Ave, Deer Lodge, MT 59722 | 2006-06-06 |
| 1891159877 | Powell County Memorial Hospital Association Inc | General Acute Care Hospital | 1100 Hollenback Ln., Deer Lodge, MT 59722 | 2016-04-06 |
| 1750393757 | Lori Lee Drumm | Family Medicine | 1100 Hollenback Ln, Deer Lodge, MT 59722 | 2006-08-12 |
| 1306262803 | Cottonwood Clinic, LLC | Nurse Practitioner | 310 Main St, Deer Lodge, MT 59722-1000 | 2014-03-10 |
| 1750600375 | Deer Lodge Valley Therapy | Clinic/Center | 310 Main St, Deer Lodge, MT 59722-1000 | 2010-05-21 |
| 1043337140 | Heide Lynn Applegate | Nurse Practitioner | 310 Main St, Deer Lodge, MT 59722-1000 | 2007-03-23 |
| 1477596161 | Debra Joan Miller | Nurse Practitioner | 310 Main St, Deer Lodge, MT 59722-1000 | 2006-06-13 |
| 1477734416 | Powell County Health Department | Clinic/Center | 304 Milwaukee Ave Ste 23, Deer Lodge, MT 59722-1035 | 2007-11-19 |
| Find all providers in zip 59722 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019297 | Momentum Speech Therapy, PC | Speech-Language Pathologist | 9885 O'brien Creek Road, Missoula, MT 59804 | 2020-10-01 |
| 1548876311 | Kandis Lee Hoem | Speech-Language Pathologist | 309 W Park St, Dillon, MT 59725-2350 | 2020-09-17 |
| 1750993549 | Heidi Brown | Speech-Language Pathologist | 475 Wines Way, Stevensville, MT 59870-6060 | 2020-08-21 |
| 1417572819 | Erin Thorsen | Speech-Language Pathologist | 1011 19th St, Havre, MT 59501-5516 | 2020-06-11 |
| 1710500178 | Kiley Kremmel | Speech-Language Pathologist | 1308 Cherry Dr, Bozeman, MT 59715-5923 | 2020-05-20 |
| 1093337230 | Stacey Keleen Mcclure | Speech-Language Pathologist | 819 Oak St, Missoula, MT 59801-3639 | 2020-05-11 |
| 1366061806 | Katelyn Minor | Speech-Language Pathologist | 169 Ice Blue Rd, Bozeman, MT 59718-9422 | 2020-04-14 |
| 1184263774 | Jessie Ahnmark | Speech-Language Pathologist | 636 Lower Tom Burke Rd, Gallatin Gateway, MT 59730-8576 | 2019-12-30 |
| 1215596812 | Erin Bauer | Speech-Language Pathologist | 974 Shepherd Ln, Stevensville, MT 59870-6712 | 2019-06-07 |
| 1346809175 | Sonia Marie Jenkins | Speech-Language Pathologist | 140 Droulliard Ave, Bozeman, MT 59718-3698 | 2019-06-05 |
| Find all providers with the same taxonomy | ||||
| City | DEER LODGE |
| Zip Code | 59722 |
Please comment or provide details below to improve the information on KIMBERLY J STAVLO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.