MONTANA NEUROCARE PLLC (NPI# 1346273968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346273968 |
| Entity Type | Organization |
| Organization Name | MONTANA NEUROCARE PLLC |
| Practice Address |
2825 Fort Missoula Rd Ste 301 Missoula MT 59804-7403 |
| Practice Telephone | 4063274688 |
| Practice Fax Number | 4063274291 |
| Mailing Telephone | 4063274688 |
| Mailing Fax Number | 4063274291 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2019-09-11 |
| Authorized Official Name | JOHN ROBERT HARRISON (MANAGER) |
| Authorized Official Telephone | 4063274688 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers |
| Street Address |
2825 FORT MISSOULA RD STE 301 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59804-7403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548323835 | Elizabeth Lynn Suh | Surgery | 2825 Fort Missoula Rd Ste 301, Missoula, MT 59804-7403 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019297 | Momentum Speech Therapy, PC | Speech-Language Pathologist | 9885 O'brien Creek Road, Missoula, MT 59804 | 2020-10-01 |
| 1033633037 | Marissa Clark | Genetic Counselor, MS | 2827 Fort Missoula Rd., Suite 317, Missoula, MT 59804 | 2017-08-01 |
| 1104295245 | Scott Richter | Specialist/Technologist | 2892 Ringo Dr, Missoula, MT 59804 | 2015-09-18 |
| 1467860353 | Zachary Ueland | Pharmacist | 4000 Highway 93 South, Missoula, MT 59804 | 2014-07-24 |
| 1316378185 | Tracy Laurel Brothers | Counselor | 1305 Wyoming Street, Missoula, MT 59804 | 2013-12-04 |
| 1447683651 | Granite Pharmacy Missoula, LLC | Durable Medical Equipment & Medical Supplies | 2230 27th Ave. West, Suite 2, Missoula, MT 59804 | 2013-08-12 |
| 1871843953 | Autum Emerson Howell | Nurse Practitioner | 2831 Ft. Missoula Rd. Bldg 2, 102, Missoula, MT 59804 | 2012-09-14 |
| 1821353939 | Carlyn Doyle | Nurse Practitioner | 2835 Fort Missoula Rd Ste 203, Missoula, MT 59804 | 2012-07-05 |
| 1396011961 | Patricia Jean Evans | Internal Medicine | 702 S.w. Higgins, First Choice Medical Clinic, Missoula, MT 59804 | 2012-03-28 |
| 1205126794 | Pacific Medical, Inc. | Prosthetic/Orthotic Supplier | 2732 South Ave West, Suite 202, Missoula, MT 59804 | 2011-04-18 |
| Find all providers in zip 59804 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780055640 | Craig Mcfarland | Clinical Neuropsychologist | 313 E Beckwith Ave, Missoula, MT 59801-5838 | 2015-10-16 |
| 1285685800 | Robert Velin | Clinical Neuropsychologist | 1622 South Ave W, Missoula, MT 59801-7804 | 2006-05-16 |
| 1255679411 | Robert Stuart Hall | Clinical Neuropsychologist | 1444 Mansfield Ave, Missoula, MT 59812-0001 | 2013-01-23 |
| 1063797686 | Bria A Dunkin | Clinical Neuropsychologist | 601 W Spruce St Ste K, Missoula, MT 59802-4047 | 2011-10-14 |
| 1245400787 | William D. Patenaude, Phd PC | Clinical Neuropsychologist | 125 Bank St Ste 310, Missoula, MT 59802-4413 | 2008-03-11 |
| 1780809020 | Kelly Lynn Pearce | Clinical Neuropsychologist | 1622 South Ave W, Missoula, MT 59801-7804 | 2007-04-13 |
| 1326174566 | Jacqueline Day | Clinical Neuropsychologist | 1001 Sw Higgins Ave, Suite 207, Missoula, MT 59803-1341 | 2007-02-24 |
| 1386793289 | Patricia Lee Webber | Clinical Neuropsychologist | 1001 Sw Higgins Ave, Suite 207, Missoula, MT 59803-1341 | 2007-01-09 |
| 1295750636 | John Robert Harrison | Clinical Neuropsychologist | 2825 Fort Missoula Rd, Ste 301, Missoula, MT 59804-7403 | 2006-07-13 |
| 1649227059 | Paul Bach | Clinical Neuropsychologist | 900 N Orange St, Third Floor, Missoula, MT 59802-2998 | 2006-05-30 |
| Find all providers in MISSOULA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.