| Leightnup Psychology Services Pc | |
|
937 Highland Blvd Ste 5320 Bozeman MT 59715-6916 | |
| (406) 531-1801 | |
| Not Available |
| Full Name | Leightnup Psychology Services Pc |
|---|---|
| Speciality | Psychologist |
| Location | 937 Highland Blvd Ste 5320, Bozeman, Montana |
| Authorized Official Name and Position | Jennifer H Leight (PRESIDENT) |
| Authorized Official Contact | 4065311801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leightnup Psychology Services Pc 69 Sako Ct Bozeman MT 59718-8438 Ph: (406) 531-1801 | Leightnup Psychology Services Pc 937 Highland Blvd Ste 5320 Bozeman MT 59715-6916 Ph: (406) 531-1801 |
| NPI Number | 1891116117 |
|---|---|
| Provider Enumeration Date | 01/05/2014 |
| Last Update Date | 01/11/2022 |
| Certification Date | 01/11/2022 |
| Medicare PECOS PAC ID | 4981823713 |
|---|---|
| Medicare Enrollment ID | O20140910000429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891116117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 405 (Montana) | Primary |
| Provider Name | Jennifer H Leight |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669529921 PECOS PAC ID: 7810166345 Enrollment ID: I20110817000691 |
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