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Contact Information

SHELLENE S CLEVERDON, OT-L
42468 JUNIPER SHORES LANE
DAYTON, MT59914
 Phone: 406-260-5692
 Fax: 406-849-6501
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for SHELLENE S CLEVERDON · (Female)

NPI Number 1063523397
Status Active
Credentials OT-L
Entity Individual
Enumeration date 08/31/2006
Last updated 06/06/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • MT License # 523
  • MT Medicaid 0347293
  • MT Other 660990 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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