| Chase Gannon, | |
|
202 Brooks St Ste 300, Missoula, MT 59801-4019 | |
| (406) 926-1453 | |
| Not Available |
| Full Name | Chase Gannon |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Addiction (substance Use Disorder) |
| Location | 202 Brooks St Ste 300, Missoula, Montana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265223382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | BBH-LAC-LIC-79686 (Montana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Chase Gannon, 519 Flood Rd, Great Falls, MT 59404-6442 Ph: (406) 868-7502 | Chase Gannon, 202 Brooks St Ste 300, Missoula, MT 59801-4019 Ph: (406) 926-1453 |
Dr. Karen Ruth Ladanye, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 125 Bank St, Suite 310, Missoula, MT 59802 Phone: 406-549-7325 Fax: 406-549-7559 | |
Susan K. Day, CP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 119 W Front St, Ste 309, Missoula, MT 59802 Phone: 406-327-9992 Fax: 406-327-9987 | |
Ellen Jean Bluett, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 401 Railroad St W, Missoula, MT 59802 Phone: 406-258-4789 Fax: 406-258-4732 | |
Dr. Laura Kirsch, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1444 Mansfield Ave, Missoula, MT 59812 Phone: 406-207-7870 | |
Mr. Bernard J Balleweg, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 125 Bank Street, Suite 310, Missoula, MT 59802 Phone: 406-549-7325 Fax: 406-549-7559 | |
Dr. Linda M Frey, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 121 Hickory St, Ste 1, Missoula, MT 59801 Phone: 406-830-3116 Fax: 406-830-3105 | |
Jennifer Robohm, Psychologist Medicare: Medicare Enrolled Practice Location: 336 W Spruce St, Missoula, MT 59802 Phone: 406-370-7479 |