| Kaitlyn N Moodie, MS, CCC-SLP | |
| 
					202 2nd Ave S Ste 202, Great Falls, MT 59405-1882  | |
| (406) 454-6973 | |
| (406) 791-9277 | 
| Full Name | Kaitlyn N Moodie | 
|---|---|
| Gender | Female | 
| Speciality | Speech-language Pathologist | 
| Location | 202 2nd Ave S Ste 202, Great Falls, Montana | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1851077697 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP-SP-LIC-12614 (Montana) | Primary | 
| Provider Name | Alluvion Clinical Services Llc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1851032262 PECOS PAC ID: 6608255591 Enrollment ID: O20220623001846  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kaitlyn N Moodie, MS, CCC-SLP 601 1st Ave N, Great Falls, MT 59401-2510 Ph: (406) 454-6973  | Kaitlyn N Moodie, MS, CCC-SLP 202 2nd Ave S Ste 202, Great Falls, MT 59405-1882 Ph: (406) 454-6973  | 
Sherri Widhalm, MS, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 629 Coyote Ln, Great Falls, MT 59404 Phone: 406-781-8748  | |
Kirsten Straniere, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 500 15th Ave S, Great Falls, MT 59405 Phone: 405-455-2661  | |
Susan Gold Sanford, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1304 13th St S, Great Falls, MT 59405 Phone: 406-727-1088  | |
Molly Boland,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1130 17th Ave S, Great Falls, MT 59405 Phone: 406-771-4500  | |
Leigha Welsh, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 500 15th Ave S, Great Falls, MT 59405 Phone: 406-455-2200  | |
Brave Speech And Language Pllc Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 52 32nd Ave Ne, Great Falls, MT 59404 Phone: 406-231-4364  | |
Sandra Forshey,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2621 15th Ave S, Great Falls, MT 59405 Phone: 406-455-5299 Fax: 406-455-4591  |