| Leslie Trumble, Psyd, Llc | |
|
125 W Granite St Suite 212 Butte MT 59701-9215 | |
| (406) 498-7120 | |
| Not Available |
| Full Name | Leslie Trumble, Psyd, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 125 W Granite St, Butte, Montana |
| Authorized Official Name and Position | Leslie Trumble (PSYCHOLOGIST, OWNER) |
| Authorized Official Contact | 4064987120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Trumble, Psyd, Llc 125 W Granite St Suite 212 Butte MT 59701-9215 Ph: (406) 498-7120 | Leslie Trumble, Psyd, Llc 125 W Granite St Suite 212 Butte MT 59701-9215 Ph: (406) 498-7120 |
| NPI Number | 1487001046 |
|---|---|
| Provider Enumeration Date | 05/24/2016 |
| Last Update Date | 05/24/2016 |
| Medicare PECOS PAC ID | 0749550952 |
|---|---|
| Medicare Enrollment ID | O20170720002671 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487001046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1943 (Montana) | Primary |
| Provider Name | Leslie Ann Trumble |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578924239 PECOS PAC ID: 1658641865 Enrollment ID: I20170720002717 |
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