| Nicholas Anthony PH D. P a | |
|
118 Slough Creek Dr Bozeman MT 59718-2064 | |
| (406) 551-0533 | |
| Not Available |
| Full Name | Nicholas Anthony PH D. P a |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 118 Slough Creek Dr, Bozeman, Montana |
| Authorized Official Name and Position | Nicholas Anthony (PRESIDENT) |
| Authorized Official Contact | 4065510533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Anthony PH D. P a 118 Slough Creek Dr Bozeman MT 59718-2064 | Nicholas Anthony PH D. P a 118 Slough Creek Dr Bozeman MT 59718-2064 Ph: (406) 551-0533 |
| NPI Number | 1457718934 |
|---|---|
| Provider Enumeration Date | 01/28/2016 |
| Last Update Date | 11/17/2025 |
| Certification Date | 11/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457718934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY-PSY-LIC-1484 (Montana) | Primary |
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