| Montana Neurocare Pllc | |
|
2825 Fort Missoula Rd Ste 301 Missoula MT 59804-7403 | |
| (406) 327-4688 | |
| (406) 327-4291 |
| Full Name | Montana Neurocare Pllc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 2825 Fort Missoula Rd Ste 301, Missoula, Montana |
| Authorized Official Name and Position | John Robert Harrison (MANAGER) |
| Authorized Official Contact | 4063274688 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Montana Neurocare Pllc 2825 Fort Missoula Rd Ste 301 Missoula MT 59804-7403 Ph: (406) 327-4688 | Montana Neurocare Pllc 2825 Fort Missoula Rd Ste 301 Missoula MT 59804-7403 Ph: (406) 327-4688 |
| NPI Number | 1346273968 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 09/11/2019 |
| Medicare PECOS PAC ID | 4385613884 |
|---|---|
| Medicare Enrollment ID | O20040930001097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346273968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | John R Harrison |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295750636 PECOS PAC ID: 6305815812 Enrollment ID: I20041004001168 |
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