Organization
SYDNEY D SEYFERT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYDNEY DIANN SEYFERT (OWNER)
(406) 540-3556
Entity
Organization
Contact information
Practice address
821 S ORANGE ST, MISSOULA, MT 59801-3833
(406) 540-3556
(406) 929-1049
Mailing address
821 S ORANGE ST, MISSOULA, MT 59801-3833
(406) 540-3556
(406) 929-1049
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100915
STATE ARNP LICENSE
MT
Enumeration date
02/01/2016
Last updated
07/30/2019
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