| Montana Neuropsychological Associates, Pllc | |
|
1622 South Ave W Missoula MT 59801-7804 | |
| (406) 543-9700 | |
| (406) 549-8109 |
| Full Name | Montana Neuropsychological Associates, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1622 South Ave W, Missoula, Montana |
| Authorized Official Name and Position | Kim Block (OFFICE MANAGER) |
| Authorized Official Contact | 4065439700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Montana Neuropsychological Associates, Pllc 1622 South Ave W Missoula MT 59801-7804 Ph: (406) 543-9700 | Montana Neuropsychological Associates, Pllc 1622 South Ave W Missoula MT 59801-7804 Ph: (406) 543-9700 |
| NPI Number | 1417318023 |
|---|---|
| Provider Enumeration Date | 03/09/2016 |
| Last Update Date | 10/17/2024 |
| Certification Date | 10/17/2024 |
| Medicare PECOS PAC ID | 5890084883 |
|---|---|
| Medicare Enrollment ID | O20160513001741 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417318023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Montana) | Primary |
| Provider Name | Mendy M Bucy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770525115 PECOS PAC ID: 4880607837 Enrollment ID: I20060717000310 |
| Provider Name | Robert A Velin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285685800 PECOS PAC ID: 2466546106 Enrollment ID: I20111130000806 |
| Provider Name | Kelly L Pearce |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780809020 PECOS PAC ID: 7719281807 Enrollment ID: I20160210001750 |
| Provider Name | Lisa Koehl |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285168260 PECOS PAC ID: 5496012858 Enrollment ID: I20220120002224 |
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