Individual
HERMAN J ANDROES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
465 LEISURE DR, KALISPELL, MT 59901-7587
(406) 752-3413
Mailing address
PO BOX 3277, KALISPELL, MT 59903-3277
(406) 752-3413
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
34
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0490722
—
MT
Enumeration date
01/23/2007
Last updated
03/23/2009
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