Individual
MICHAEL ANDREW SCHACTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1648 ELLIS ST STE 302, BOZEMAN, MT 59715-8811
(406) 586-3301
Mailing address
1648 ELLIS ST STE 302, BOZEMAN, MT 59715-8811
(406) 586-3301
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
PSY-PDS-APP-3551
MT
103TC1900X
Counseling Psychologist
Primary
PSY-PSY-LIC-3642
MT
Other
Enumeration date
08/31/2021
Last updated
10/27/2021
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