Individual
DR. SHANNON ST. ONGE SCALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
SCALLY PSYCHIATRIC MENTAL HEALTH, 2431 RIVER ROAD, MISSOULA, MT 59804-1239
(406) 360-5093
(406) 720-7944
Mailing address
2431 RIVER RD, MISSOULA, MT 59804-1239
(406) 360-5093
(406) 720-7944
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
195702
MT
390200000X
Student in an Organized Health Care Education/Training Program
27210
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
NA
MT
Enumeration date
07/09/2020
Last updated
10/23/2023
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