Montana Neuroempowerment Clinic Llc | |
1925 Strand Ave Missoula MT 59801-5409 | |
(406) 459-8532 | |
Not Available |
Full Name | Montana Neuroempowerment Clinic Llc |
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Speciality | Behavior Analyst |
Location | 1925 Strand Ave, Missoula, Montana |
Authorized Official Name and Position | Laura Lopach (MANAGER/OWNER) |
Authorized Official Contact | 4064598532 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Montana Neuroempowerment Clinic Llc Po Box 1691 Missoula MT 59806-1691 Ph: () - | Montana Neuroempowerment Clinic Llc 1925 Strand Ave Missoula MT 59801-5409 Ph: (406) 459-8532 |
NPI Number | 1952142531 |
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Provider Enumeration Date | 06/05/2024 |
Last Update Date | 06/18/2024 |
Certification Date | 06/18/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952142531 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
103T00000X | Psychologist | (* (Not Available)) | Secondary |
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