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ROCKY MOUNTAIN NEUROPSYCHOLOGY PLLC

Clinical Neuropsychologist

Bozeman, Montana

Provider NPI: 1316089451

Organization Information:
Organization Name:  ROCKY MOUNTAIN NEUROPSYCHOLOGY PLLC
Organization is not Subpart
Authorized Official:  JEFFREY MICHAEL CORY  OWNER MEMBER  406-5824466

Practice Location:
1648 ELLIS ST #302 BOZEMAN, MT 59715 US
Tel: 406-582-4466  Fax: 406-587-1513

Business Mailing Address:
1648 ELLIS ST #302 BOZEMAN, MT 59715 US
Tel: 406-582-4466  Fax: 406-587-1513

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
MT368

Other Provider Identifiers:

IssuerNumberStateType
0493221MT05
BCBS MT52571MT01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS MT - Page 1



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