Provider Demographics
NPI:1417516196
Name:OVENELL, JOSILYN OLSON (MS, CCC-SLP, CBIS)
Entity type:Individual
Prefix:
First Name:JOSILYN
Middle Name:OLSON
Last Name:OVENELL
Suffix:
Gender:
Credentials:MS, CCC-SLP, CBIS
Other - Prefix:
Other - First Name:JOSILYN
Other - Middle Name:J
Other - Last Name:OLSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7012 JENAYA CT
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59803-8507
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1940 HARVE AVE STE 2
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59801-8344
Practice Address - Country:US
Practice Address - Phone:406-531-4954
Practice Address - Fax:406-258-0826
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-06
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist