Individual
DR. WILLIAM LEROY SUDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1201 WESTWOOD DR, SUITE C, HAMILTON, MT 59840-2305
(406) 363-2266
(406) 363-2266
Mailing address
1201 WESTWOOD DR, SUITE C, HAMILTON, MT 59840-2305
(406) 363-2266
(406) 363-2266
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
89
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163709
MENTAL HEALTH NETWORK
MT
05
—
49-1244
—
MT
01
—
51550
BLUE CROSS BLUE SHIELD
MT
Enumeration date
12/28/2006
Last updated
07/08/2007
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