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Cmc Rehab Dept Neuropsych Evaluations

Psychologist in Missoula, MT. Organization (NPI-2).

NPI number1720216005
StatusActive
Last updated in NPPESJun 25, 2009

Details

NPI
1720216005
Entity type
Organization (NPI-2)
Legal business name
Cmc Rehab Dept Neuropsych Evaluations
Organization subpart
Yes
Enumeration date
Jun 25, 2009
Last updated
Jun 25, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X Psychologist226MTYes

Practice location

2827 Fort Missoula Rd
Missoula, MT 59804-7408

Phone 406-728-4100 · Fax 406-327-4545

Mailing address

2827 Fort Missoula Rd
Missoula, MT 59804-7408

Phone 406-728-4100 · Fax 406-327-4545

Authorized official

Stephane G Carlson
Ceo
4067284100

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