MISS PATRICE L MUDIE LCPC NPI 1538489380

NPI Information

NPI: 1538489380
Provider Name: MISS PATRICE L MUDIE, LCPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
101 E BROADWAY ST STE 204
MISSOULA, MT
ZIP 59802
Phone: (406) 546-7761
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MISS Patrice L Mudie, LCPC is a professional counselor in Missoula, MT. MISS Patrice L Mudie, LCPC NPI is 1538489380. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

101 E BROADWAY ST STE 204
MISSOULA, MT
ZIP 59802-510
Phone: (406) 546-7761

The enumeration date for this NPI number is 6/3/2010 and was last updated on 6/21/2010.

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
1	103TS0200X	Psychologist	School	76159	MONTANA	No
2	101YP2500X	Counselor	Professional	1153	MONTANA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1538489380	MEDICAID	MONTANA

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

NPI Synchronization or Removal

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