| Dmbn Psychotherapy | |
|
4055 Valley Commons Dr Ste C-1 Bozeman MT 59718-6432 | |
| (406) 388-4570 | |
| Not Available |
| Full Name | Dmbn Psychotherapy |
|---|---|
| Speciality | Social Worker |
| Location | 4055 Valley Commons Dr Ste C-1, Bozeman, Montana |
| Authorized Official Name and Position | Dorothy Mae Burns Noreika (OWNER) |
| Authorized Official Contact | 4063884570 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dmbn Psychotherapy 1679 Remuda Dr Belgrade MT 59714-8835 Ph: (406) 388-4570 | Dmbn Psychotherapy 4055 Valley Commons Dr Ste C-1 Bozeman MT 59718-6432 Ph: (406) 388-4570 |
| NPI Number | 1104526524 |
|---|---|
| Provider Enumeration Date | 03/06/2023 |
| Last Update Date | 04/21/2023 |
| Certification Date | 04/21/2023 |
| Medicare PECOS PAC ID | 6800251844 |
|---|---|
| Medicare Enrollment ID | O20230427000631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104526524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Dorothy M Noreika |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154913630 PECOS PAC ID: 7719343334 Enrollment ID: I20230523002658 |
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