| Nicholas Anthony,phd,p.a. | |
|
905 Highland Blvd Ste 4500 Bozeman MT 59715-6901 | |
| (406) 551-0533 | |
| Not Available |
| Full Name | Nicholas Anthony,phd,p.a. |
|---|---|
| Speciality | Psychologist |
| Location | 905 Highland Blvd, Bozeman, Montana |
| Authorized Official Name and Position | Nicholas Anthony (PRESIDENT) |
| Authorized Official Contact | 4065510533 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Anthony,phd,p.a. 964 Knolls Dr Bozeman MT 59715-7430 Ph: () - | Nicholas Anthony,phd,p.a. 905 Highland Blvd Ste 4500 Bozeman MT 59715-6901 Ph: (406) 551-0533 |
| NPI Number | 1457718934 |
|---|---|
| Provider Enumeration Date | 01/28/2016 |
| Last Update Date | 02/26/2016 |
| Medicare PECOS PAC ID | 9234269192 |
|---|---|
| Medicare Enrollment ID | O20160302002090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457718934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY-PSY-LIC-1484 (Montana) | Primary |
| Provider Name | Nicholas C Anthony |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629137880 PECOS PAC ID: 1658400106 Enrollment ID: I20160302002320 |
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