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Individual

ROBERT VELIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
1622 SOUTH AVE W, MISSOULA, MT 59801-7804
(406) 543-9700
(406) 549-8109
Mailing address
1622 SOUTH AVE W, MISSOULA, MT 59801-7804
(406) 543-9700
(406) 549-8109

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
268
MT
103TC0700X
Clinical Psychologist
268
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0490535
MT
Enumeration date
05/16/2006
Last updated
06/10/2016
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