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Individual

DR. GREG MACHEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
2635 VALLEY VIEW DR, MISSOULA, MT 59803-2528
(406) 241-8021
Mailing address
2635 VALLEY VIEW DR, MISSOULA, MT 59803-2528
(406) 241-8021

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY-PSY-LIC-2208
MT
103TS0200X
School Psychologist
137291
MT

Other

Enumeration date
05/25/2017
Last updated
05/25/2017
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