Individual
DR. BRIAN D KASSAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
24 S WILLSON AVE STE 5, BOZEMAN, MT 59715-4609
(406) 570-4161
Mailing address
PO BOX 5131, BOZEMAN, MT 59717-5131
(406) 585-0526
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
341
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
745203
BCBS PROVIDER #-PRIV PRAC
MT
Enumeration date
05/03/2007
Last updated
12/19/2019
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