Provider Demographics
NPI:1891089736
Name:TRENKA SPEECH LANGUAGE SERVICES LLC
Entity type:Organization
Organization Name:TRENKA SPEECH LANGUAGE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TANIS
Authorized Official - Middle Name:M
Authorized Official - Last Name:TRENKA
Authorized Official - Suffix:
Authorized Official - Credentials:MSCCC-SLP
Authorized Official - Phone:406-570-9465
Mailing Address - Street 1:3124 ROSE ST
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-6076
Mailing Address - Country:US
Mailing Address - Phone:406-570-9465
Mailing Address - Fax:406-582-4148
Practice Address - Street 1:1122 E MAIN ST
Practice Address - Street 2:SUITE 4
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-3887
Practice Address - Country:US
Practice Address - Phone:406-570-9465
Practice Address - Fax:406-582-4148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-08
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty