| Cmc Rehab Dept Neuropsych Evaluations | |
|
2827 Fort Missoula Rd Missoula MT 59804-7408 | |
| (406) 728-4100 | |
| (406) 327-4545 |
| Full Name | Cmc Rehab Dept Neuropsych Evaluations |
|---|---|
| Speciality | Psychologist |
| Location | 2827 Fort Missoula Rd, Missoula, Montana |
| Authorized Official Name and Position | Stephane G Carlson (CEO) |
| Authorized Official Contact | 4067284100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cmc Rehab Dept Neuropsych Evaluations 2827 Fort Missoula Rd Missoula MT 59804-7408 Ph: (406) 728-4100 | Cmc Rehab Dept Neuropsych Evaluations 2827 Fort Missoula Rd Missoula MT 59804-7408 Ph: (406) 728-4100 |
| NPI Number | 1720216005 |
|---|---|
| Provider Enumeration Date | 06/25/2009 |
| Last Update Date | 06/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720216005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 226 (Montana) | Primary |
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