| Ammons Psychological Services, Pllc | |
|
2831 Fort Missoula Rd Ste 201 Physicians' Center #2 Missoula MT 59804-7401 | |
| (406) 728-8818 | |
| (406) 728-8818 |
| Full Name | Ammons Psychological Services, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 2831 Fort Missoula Rd Ste 201, Missoula, Montana |
| Authorized Official Name and Position | Robert Bruce Ammons (CLINICAL PSYCHOLOGIST-SOLE PROPRTR) |
| Authorized Official Contact | 4067288818 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ammons Psychological Services, Pllc 2831 Fort Missoula Rd Ste 201 Physicians' Center #2 Missoula MT 59804-7401 Ph: (406) 728-8818 | Ammons Psychological Services, Pllc 2831 Fort Missoula Rd Ste 201 Physicians' Center #2 Missoula MT 59804-7401 Ph: (406) 728-8818 |
| NPI Number | 1861694119 |
|---|---|
| Provider Enumeration Date | 05/31/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6406954494 |
|---|---|
| Medicare Enrollment ID | O20070614000712 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861694119 | NPI | - | NPPES |
| 0057850 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 374 (Montana) | Primary |
| Provider Name | Robert B Ammons |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134296445 PECOS PAC ID: 3577667666 Enrollment ID: I20070329000310 |
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