Basic Information
| Provider Information | |||||||||
| NPI: | 1962076356 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MCDOWELL | ||||||||
| FirstName: | SHELBY | ||||||||
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| Credential: | HAD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1650 INVERNESS DR UNIT 7 | ||||||||
| Address2: | |||||||||
| City: | BILLINGS | ||||||||
| State: | MT | ||||||||
| PostalCode: | 591053588 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4068619155 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3039 GRAND AVE STE A | ||||||||
| Address2: | |||||||||
| City: | BILLINGS | ||||||||
| State: | MT | ||||||||
| PostalCode: | 591028124 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4062524731 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/19/2021 | ||||||||
| LastUpdateDate: | 07/12/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/12/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 237700000X | HAD-HAD-LIC-1649 | MT | Y | Speech, Language and Hearing Service Providers | Hearing Instrument Specialist |
No ID Information.