Organization
PHILIP H BORNSTEIN ETAL PTR
Active
Organization
PHILIP H BORNSTEIN ETAL PTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP H BORNSTEIN PHD (OWNER)
(406) 549-7325
Entity
Organization
Contact information
Practice address
125 BANK ST, SUITE 310, MISSOULA, MT 59802-4407
(406) 549-7325
Mailing address
125 BANK ST, SUITE 310, MISSOULA, MT 59802-4407
(406) 549-7325
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
02/15/2011
Last updated
03/31/2011
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