| Davis Consultants, Pc | |
|
300 W Broadway St Missoula MT 59802-4126 | |
| (406) 899-0522 | |
| (406) 543-1290 |
| Full Name | Davis Consultants, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 300 W Broadway St, Missoula, Montana |
| Authorized Official Name and Position | Patrick J Davis (OWNER/MANAGER) |
| Authorized Official Contact | 4068990522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Davis Consultants, Pc Po Box 9433 Missoula MT 59807-9433 Ph: (406) 899-0522 | Davis Consultants, Pc 300 W Broadway St Missoula MT 59802-4126 Ph: (406) 899-0522 |
| NPI Number | 1437309424 |
|---|---|
| Provider Enumeration Date | 09/25/2008 |
| Last Update Date | 09/24/2011 |
| Medicare PECOS PAC ID | 6103994017 |
|---|---|
| Medicare Enrollment ID | O20081006000226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437309424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 236 (Montana) | Primary |
| Provider Name | Patrick Davis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194748699 PECOS PAC ID: 4385729110 Enrollment ID: I20080304000573 |
| Provider Name | Suzanne M Richards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720092893 PECOS PAC ID: 0244303006 Enrollment ID: I20080728000089 |
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