| Spark Neurobehavioral Solutions, Pllc | |
|
407 W Main St Bozeman MT 59715-4578 | |
| (406) 624-3632 | |
| Not Available |
| Full Name | Spark Neurobehavioral Solutions, Pllc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 407 W Main St, Bozeman, Montana |
| Authorized Official Name and Position | Lee Perry (MANAGING PARTNER) |
| Authorized Official Contact | 4066243632 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spark Neurobehavioral Solutions, Pllc 1707 S Rouse Ave Bozeman MT 59715-5758 Ph: () - | Spark Neurobehavioral Solutions, Pllc 407 W Main St Bozeman MT 59715-4578 Ph: (406) 624-3632 |
| NPI Number | 1629575667 |
|---|---|
| Provider Enumeration Date | 04/06/2018 |
| Last Update Date | 04/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629575667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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