| Dr Kelsey L Gilleon Psychological Services Pllc | |
|
26 Dune Ridge Ln Great Falls MT 59404-6457 | |
| (406) 868-8315 | |
| Not Available |
| Full Name | Dr Kelsey L Gilleon Psychological Services Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 26 Dune Ridge Ln, Great Falls, Montana |
| Authorized Official Name and Position | Kelsey Gilleon (OWNER) |
| Authorized Official Contact | 4067716717 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kelsey L Gilleon Psychological Services Pllc 26 Dune Ridge Ln Great Falls MT 59404-6457 Ph: () - | Dr Kelsey L Gilleon Psychological Services Pllc 26 Dune Ridge Ln Great Falls MT 59404-6457 Ph: (406) 868-8315 |
| NPI Number | 1154182491 |
|---|---|
| Provider Enumeration Date | 01/23/2024 |
| Last Update Date | 08/14/2024 |
| Certification Date | 08/14/2024 |
| Medicare PECOS PAC ID | 4981142114 |
|---|---|
| Medicare Enrollment ID | O20240819002085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154182491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kelsey Gilleon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053032086 PECOS PAC ID: 5890233027 Enrollment ID: I20240903003893 |
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