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THOMAS 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:

PrimaryCodeCategory/DescriptionStateLicense Number
X103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
MT139
X103TC0700XBehavioral Health & Social Service Providers
Psychologist
MT139

Other Provider Identifiers:

IssuerNumberStateType
0490076MT05
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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