Provider Demographics
NPI:1598055030
Name:DALY, CHRISTINE (MSCCC-SLP)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:
Last Name:DALY
Suffix:
Gender:F
Credentials:MSCCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1163
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:MT
Mailing Address - Zip Code:59019-1163
Mailing Address - Country:US
Mailing Address - Phone:406-579-0819
Mailing Address - Fax:
Practice Address - Street 1:4328 HIGHWAY 78
Practice Address - Street 2:A
Practice Address - City:COLUMBUS
Practice Address - State:MT
Practice Address - Zip Code:59019-7491
Practice Address - Country:US
Practice Address - Phone:406-579-0819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-18
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1222235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist