Local City Search for Psychiatrists, Psychologists, Therapists, Counselors and Mental Health Treatment CentersTHOMAS J KRAJACICH PHD
Clinical Neuropsychologist
Great Falls, Montana
Provider NPI: 1518968486
Provider Information:THOMAS J KRAJACICH PHD
Gender: M
Practice Location:
1400 29TH ST S GREAT FALLS, MT 59405 US
Tel: 406-454-2171 Fax: 406-771-3021
Business Mailing Address:
1400 29TH ST S GREAT FALLS, MT 59405 US
Tel: 406-454-2171 Fax: 406-771-3021
Entity Type: Individual
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| X | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | MT | 139 |
| X | 103TC0700X | Behavioral Health & Social Service Providers Psychologist | MT | 139 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 0490076 | MT | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
