Individual
MARY K BOGUMILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2475 E BROADWAY ST, HELENA, MT 59601-4928
(406) 444-2288
(406) 444-2163
Mailing address
2475 E BROADWAY ST, HELENA, MT 59601-4928
(406) 444-2288
(406) 444-2163
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
MT
Other
Enumeration date
05/22/2009
Last updated
05/22/2009
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