| Shape | |
|
111 N Higgins Ave Ste 204 Missoula MT 59802-4401 | |
| (406) 220-5581 | |
| Not Available |
| Full Name | Shape |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 111 N Higgins Ave Ste 204, Missoula, Montana |
| Authorized Official Name and Position | Ari Silverman (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 4062205581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shape 111 N Higgins Ave Ste 204 Missoula MT 59802-4401 Ph: (406) 220-5581 | Shape 111 N Higgins Ave Ste 204 Missoula MT 59802-4401 Ph: (406) 220-5581 |
| NPI Number | 1003677683 |
|---|---|
| Provider Enumeration Date | 01/19/2024 |
| Last Update Date | 02/08/2024 |
| Certification Date | 02/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003677683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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