Individual
DR. NICHOLAS CHARLES ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
905 HIGHLAND BLVD, STE. 4500, BOZEMAN, MT 59715-6901
(406) 551-0533
Mailing address
905 HIGHLAND BLVD, STE. 4500, BOZEMAN, MT 59715-6901
(406) 551-0533
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-PSY-LIC 1484
MT
103TC0700X
Clinical Psychologist
PY 3960
FL
Other
Enumeration date
12/06/2006
Last updated
12/08/2015
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