| Hugh M . And Mary Grace Black | |
|
48 Medical Park Dr Helena MT 59601-4925 | |
| (406) 449-3880 | |
| (406) 442-6935 |
| Full Name | Hugh M . And Mary Grace Black |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 48 Medical Park Dr, Helena, Montana |
| Authorized Official Name and Position | Hugh M. Black (PARTNER) |
| Authorized Official Contact | 4064493880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hugh M . And Mary Grace Black 48 Medical Park Dr Helena MT 59601-4925 Ph: (406) 449-3880 | Hugh M . And Mary Grace Black 48 Medical Park Dr Helena MT 59601-4925 Ph: (406) 449-3880 |
| NPI Number | 1295921583 |
|---|---|
| Provider Enumeration Date | 09/20/2007 |
| Last Update Date | 09/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295921583 | NPI | - | NPPES |
| 0500357 | Medicaid | MT | |
| 0490438 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 133 (Montana) | Primary |
| 1041C0700X | Social Worker - Clinical | 31 (Montana) | Secondary |
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