| Element Center For Neurodevelopment | |
|
3972 Us Highway 93 N Ste G Stevensville MT 59870-6469 | |
| (406) 200-9079 | |
| Not Available |
| Full Name | Element Center For Neurodevelopment |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 3972 Us Highway 93 N Ste G, Stevensville, Montana |
| Authorized Official Name and Position | Bria Dunkin (CEO) |
| Authorized Official Contact | 4062009079 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Element Center For Neurodevelopment 3972 Us Highway 93 N Ste G Stevensville MT 59870-6469 Ph: (406) 200-9079 | Element Center For Neurodevelopment 3972 Us Highway 93 N Ste G Stevensville MT 59870-6469 Ph: (406) 200-9079 |
| NPI Number | 1871355271 |
|---|---|
| Provider Enumeration Date | 01/30/2024 |
| Last Update Date | 10/22/2024 |
| Certification Date | 10/22/2024 |
| Medicare PECOS PAC ID | 5597298083 |
|---|---|
| Medicare Enrollment ID | O20241022004590 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871355271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Bria A Dunkin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063797686 PECOS PAC ID: 4082992532 Enrollment ID: I20200414001757 |
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