| Creating Choices Pc | |
|
65b W Kagy Blvd Bozeman MT 59715-6052 | |
| (406) 585-7167 | |
| Not Available |
| Full Name | Creating Choices Pc |
|---|---|
| Speciality | Psychologist |
| Location | 65b W Kagy Blvd, Bozeman, Montana |
| Authorized Official Name and Position | Debra A Lang (DIRECTOR/PSYCHOLOGIST) |
| Authorized Official Contact | 4065857167 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creating Choices Pc 65b W Kagy Blvd Bozeman MT 59715-6052 Ph: (406) 585-7167 | Creating Choices Pc 65b W Kagy Blvd Bozeman MT 59715-6052 Ph: (406) 585-7167 |
| NPI Number | 1033440045 |
|---|---|
| Provider Enumeration Date | 01/15/2010 |
| Last Update Date | 01/15/2010 |
| Medicare PECOS PAC ID | 3870628902 |
|---|---|
| Medicare Enrollment ID | O20100315000913 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033440045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 351 (Montana) | Primary |
| Provider Name | Debra A Lang |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174739023 PECOS PAC ID: 2769498971 Enrollment ID: I20060224000653 |
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