NPI Information

  • NPI: 1184452567
  • Provider Name: CLINICAL PSYCHOLOGY CENTER
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Organization
  • Address: 1444 MANSFIELD AVE
    MISSOULA, MT
    ZIP 59812
  • Phone: (406) 243-2367

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NPI Details

CLINICAL PSYCHOLOGY CENTER is a student in an organized health care education training program in Missoula, MT. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. CLINICAL PSYCHOLOGY CENTER NPI is 1184452567. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1444 MANSFIELD AVE
MISSOULA, MT
ZIP 59812
Phone: (406) 243-2367
Fax: (406) 243-5549

The provider's authorized official is Raurie Elizabeth Birch .
The authorized official title is Director and has the following contact phone number (406) 243-2367.

The enumeration date for this NPI number is 7/25/2024 and was last updated on 7/25/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

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: 3/30/2025

NPI Synchronization or Removal

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