| Bozeman Psychiatry Pc | |
|
1940 W Dickerson St Suite 207 Bozeman MT 59718-6851 | |
| (406) 586-9735 | |
| (406) 582-9158 |
| Full Name | Bozeman Psychiatry Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1940 W Dickerson St, Bozeman, Montana |
| Authorized Official Name and Position | Joan Marie Green (OWNER) |
| Authorized Official Contact | 4065869735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bozeman Psychiatry Pc 1940 W Dickerson St Suite 207 Bozeman MT 59718-6851 Ph: (406) 586-9735 | Bozeman Psychiatry Pc 1940 W Dickerson St Suite 207 Bozeman MT 59718-6851 Ph: (406) 586-9735 |
| NPI Number | 1750759791 |
|---|---|
| Provider Enumeration Date | 09/08/2015 |
| Last Update Date | 09/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750759791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 8323 (Montana) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 8323 (Montana) | Secondary |
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