Individual
HANNAH ELIZABETH WADSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
601 W SPRUCE ST STE K, MISSOULA, MT 59802-4047
(406) 327-3330
(406) 327-2399
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(866) 747-2455
(319) 384-9552
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY-PSY-LIC-4936
MT
103T00000X
Psychologist
095471
IA
Other
Enumeration date
06/23/2020
Last updated
04/09/2024
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