| James Wahlberg, Ph.d. | |
|
2831 Fort Missoula Rd Suite 201 Missoula MT 59804-7419 | |
| (406) 728-8818 | |
| Not Available |
| Full Name | James Wahlberg, Ph.d. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2831 Fort Missoula Rd, Missoula, Montana |
| Authorized Official Name and Position | James Lee Wahlberg (OWNER) |
| Authorized Official Contact | 4067288818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James Wahlberg, Ph.d. 2831 Fort Missoula Rd Suite 201 Missoula MT 59804-7419 Ph: (406) 728-8818 | James Wahlberg, Ph.d. 2831 Fort Missoula Rd Suite 201 Missoula MT 59804-7419 Ph: (406) 728-8818 |
| NPI Number | 1912359639 |
|---|---|
| Provider Enumeration Date | 07/06/2016 |
| Last Update Date | 07/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912359639 | NPI | - | NPPES |
| 51670 | Other | MT | BLUE CROSS BLUE SHIELD |
| 492596 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 109 (Montana) | Primary |
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