Ammons Psychological Services, PLLC
Psychologist, Clinical in Missoula, MT. Organization (NPI-2).
NPI number1861694119
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1861694119
- Entity type
- Organization (NPI-2)
- Legal business name
- Ammons Psychological Services, PLLC
- Organization subpart
- No
- Enumeration date
- May 31, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 374 | MT | Yes |
Practice location
2831 Fort Missoula Rd Ste 201Physicians' Center #2
Missoula, MT 59804-7401
Phone 406-728-8818 · Fax 406-728-8818
Mailing address
2831 Fort Missoula Rd Ste 201Physicians' Center #2
Missoula, MT 59804-7401
Phone 406-728-8818 · Fax 406-728-8818
Authorized official
Robert Bruce Ammons
Clinical Psychologist-Sole Proprtr
4067288818
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