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Individual

THOMAS J KRAJACICH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
1400 29TH ST S, GREAT FALLS, MT 59405-5353
(406) 454-2171
(406) 771-3021
Mailing address
1400 29TH ST S, GREAT FALLS, MT 59405-5353
(406) 454-2171
(406) 771-3021

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
139
MT
103TC0700X
Clinical Psychologist
Primary
139
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0490076
MT
Enumeration date
08/02/2005
Last updated
09/11/2025
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