| Rocky Mountain Neuropsychology Pllc | |
|
1648 Ellis St #302 Bozeman MT 59715-8810 | |
| (406) 582-4466 | |
| (406) 587-1513 |
| Full Name | Rocky Mountain Neuropsychology Pllc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1648 Ellis St, Bozeman, Montana |
| Authorized Official Name and Position | Jeffrey Michael Cory (OWNER MEMBER) |
| Authorized Official Contact | 4065824466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rocky Mountain Neuropsychology Pllc 1648 Ellis St #302 Bozeman MT 59715-8810 Ph: (406) 582-4466 | Rocky Mountain Neuropsychology Pllc 1648 Ellis St #302 Bozeman MT 59715-8810 Ph: (406) 582-4466 |
| NPI Number | 1316089451 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316089451 | NPI | - | NPPES |
| 0493221 | Medicaid | MT | |
| 52571 | Other | MT | BCBS MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 368 (Montana) | Primary |
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