Organization
CLINICAL PSYCHOLOGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAURIE ELIZABETH BIRCH PSY.D. (DIRECTOR)
(406) 243-2367
Entity
Organization
Contact information
Practice address
1444 MANSFIELD AVE, MISSOULA, MT 59812
(406) 243-2367
(406) 243-5549
Mailing address
1444 MANSFIELD AVE, MISSOULA, MT 59812
(406) 243-2367
(406) 243-5549
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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