Individual
DR. KELLY LYNN PEARCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1622 SOUTH AVE W, MISSOULA, MT 59801-7804
(406) 543-9700
Mailing address
1622 SOUTH AVE W, MISSOULA, MT 59801-7804
(406) 543-9700
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY-PSY-LIC-1734
MT
103T00000X
Psychologist
PSY-PSY-LIC-1734
MT
103TC0700X
Clinical Psychologist
PSY-PSY-LIC-1734
MT
Other
Enumeration date
04/13/2007
Last updated
10/17/2024
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