AMMONS PSYCHOLOGICAL SERVICES, PLLC


Address: 2831 Fort Missoula Rd Ste 201, Physicians' Center #2, Missoula, MT 59804-7401
Phone: 4067288818

AMMONS PSYCHOLOGICAL SERVICES, PLLC (NPI# 1861694119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861694119
Entity Type Organization
Organization Name AMMONS PSYCHOLOGICAL SERVICES, PLLC
Practice Address 2831 Fort Missoula Rd Ste 201
Physicians' Center #2
Missoula
MT 59804-7401
Practice Telephone 4067288818
Practice Fax Number 4067288818
Mailing Telephone 4067288818
Mailing Fax Number 4067288818
Enumeration Date 2007-05-31
Last Update Date 2020-08-22
Authorized Official Name DR. ROBERT BRUCE AMMONS III (CLINICAL PSYCHOLOGIST-SOLE PROPRTR)
Authorized Official Telephone 4067288818
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
374 MT Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MT 0057850 05

Office Location

Street Address 2831 FORT MISSOULA RD STE 201
PHYSICIANS' CENTER #2
City MISSOULA
State MT
Zip Code 59804-7401

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164760237 Bryan Neil Cochran Psychologist Sb143 Dept of Psychology, Missoula, MT 59812-0001 2013-01-24
1639373939 M.j.h.h., Inc. Psychologist 445 S 5th St W, Missoula, MT 59801-2619 2007-06-12
1013110113 Janet P. Wollersheim Psychologist 1900 Brooks St, Missoula, MT 59801-6644 2007-06-06
1245357177 Nadine M. Wisniewski Psychologist 27 Fort Missoula Rd, Ste B4, Missoula, MT 59804-7206 2007-03-24
1841324738 Craig Harold Ravesloot Psychologist 101 E Broadway St Ste 310, Missoula, MT 59802-4510 2007-03-15
1629127063 Christine Fiore Psychologist 1444 Mansfield Ave, Missoula, MT 59812-0001 2007-01-08
1083778351 David Schuldberg Psychologist 1444 Mansfield, (cpc), Missoula, MT 59812-1584 2006-12-21
1609942069 Danette M Wollersheim Psychologist 129 W Kent Ave, Ste I, Missoula, MT 59801-6730 2006-11-28
1790855443 Cindy L Miller Psychologist 1805 Bancroft, Ste I, Missoula, MT 59801 2006-11-09
1568558591 Mary Joan Hess-homeier Psychologist 445 S. Fifth St., W., Missoula, MT 59801-2619 2006-10-05
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Competitor

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City MISSOULA
Zip Code 59804

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Dataset Information

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.

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