CORY DEAN HESSEL PH.D.
Clinical Neuropsychologist
Great Falls, Montana
Provider NPI: 1619073327
Provider Information:CORY DEAN HESSEL PH.D.
Gender: M
Sole Proprietor
Practice Location:
400 15TH AVE S GREAT FALLS, MT 59405 US
Tel: 406-731-8888 Fax: --
Business Mailing Address:
400 15TH AVE S GREAT FALLS, MT 59405 US
Tel: 406-731-8888 Fax: --
Entity Type: Individual
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | MT | 369 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BC/BS | 52481 | MT | 01 |
0492864 | MT | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin