Organization
ROCKY MOUNTAIN NEUROPSYCHOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY MICHAEL CORY PH.D. (OWNER MEMBER)
(406) 582-4466
Entity
Organization
Contact information
Practice address
1648 ELLIS ST, #302, BOZEMAN, MT 59715-8810
(406) 582-4466
(406) 587-1513
Mailing address
1648 ELLIS ST, #302, BOZEMAN, MT 59715-8810
(406) 582-4466
(406) 587-1513
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
368
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0493221
—
MT
01
—
52571
BCBS MT
MT
Enumeration date
02/13/2007
Last updated
08/22/2020
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