Individual
DR. RONI KAY LETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
128 S 6TH ST W, MISSOULA, MT 59801
(406) 543-8415
Mailing address
128 S 6TH ST W, MISSOULA, MT 59801
(406) 543-8415
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSYCH218
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0492284
—
MT
01
—
50941
BCBS
MT
Enumeration date
03/01/2007
Last updated
07/08/2007
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