| William D. Patenaude, Phd Pc | |
|
125 Bank St Ste 310 Missoula MT 59802-4413 | |
| (406) 549-7325 | |
| Not Available |
| Full Name | William D. Patenaude, Phd Pc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 125 Bank St Ste 310, Missoula, Montana |
| Authorized Official Name and Position | William D. Patenaude (DIRECTOR) |
| Authorized Official Contact | 4065497325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William D. Patenaude, Phd Pc 125 Bank St Ste 310 Missoula MT 59802-4413 Ph: (406) 549-7325 | William D. Patenaude, Phd Pc 125 Bank St Ste 310 Missoula MT 59802-4413 Ph: (406) 549-7325 |
| NPI Number | 1245400787 |
|---|---|
| Provider Enumeration Date | 03/11/2008 |
| Last Update Date | 03/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245400787 | NPI | - | NPPES |
| 1407905086 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 315 (Montana) | Primary |
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