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ROCKY MOUNTAIN NEUROPSYCHOLOGY PLLC NPI 1316089451


NPI Information

NPI: 1316089451
Provider Name: ROCKY MOUNTAIN NEUROPSYCHOLOGY PLLC
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
1648 ELLIS ST
#302
BOZEMAN, MT
ZIP 59715
Phone: (406) 582-4466
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ROCKY MOUNTAIN NEUROPSYCHOLOGY PLLC is a clinical neuropsychologist in Bozeman, MT. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. ROCKY MOUNTAIN NEUROPSYCHOLOGY PLLC NPI is 1316089451. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1648 ELLIS ST
#302
BOZEMAN, MT
ZIP 59715-810
Phone: (406) 582-4466
Fax: (406) 587-1513

The provider's authorized official is Jeffrey Michael Cory .
The authorized official title is Owner Member and has the following contact phone number (406) 582-4466.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103G00000XClinical Neuropsychologist368MONTANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10493221MEDICAIDMONTANA
252571OTHERMONTANABCBS MT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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