| Katherine L. Gillispie, Lcsw, Bcba | |
|
415 North Higgins Avenue Suite 111a Missoula MT 59802-9926 | |
| (406) 529-9516 | |
| (888) 978-6176 |
| Full Name | Katherine L. Gillispie, Lcsw, Bcba |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 415 North Higgins Avenue, Missoula, Montana |
| Authorized Official Name and Position | Katherine L. Gillispie (OWNER) |
| Authorized Official Contact | 4065299516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine L. Gillispie, Lcsw, Bcba Po Box 5814 Missoula MT 59806-5814 Ph: (406) 529-9516 | Katherine L. Gillispie, Lcsw, Bcba 415 North Higgins Avenue Suite 111a Missoula MT 59802-9926 Ph: (406) 529-9516 |
| NPI Number | 1093259137 |
|---|---|
| Provider Enumeration Date | 12/08/2016 |
| Last Update Date | 12/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093259137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 964 (Montana) | Primary |
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