Organization
MONTANA NEUROBEHAVIORAL SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA K LUNDIN BSA (CHIEF FINANCIAL OFFICER)
(406) 327-3371
Entity
Organization
Contact information
Practice address
900 N ORANGE ST, THIRD FLOOR, MISSOULA, MT 59802-2998
(406) 327-3350
(406) 327-3390
Mailing address
900 N ORANGE ST, THIRD FLOOR, MISSOULA, MT 59802-2998
(406) 327-3370
(406) 327-3390
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
—
—
2084N0400X
Neurology Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
05/19/2006
Last updated
02/15/2008
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