Organization
HALLIE BORNSTEIN BANZIGER PHD LLC
Active
Organization
HALLIE BORNSTEIN BANZIGER PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HALLIE ALYSSA BORNSTEIN BANZIGER PHD (OWNER)
(406) 219-3311
Entity
Organization
Contact information
Practice address
125 BANK ST, SUITE 310, MISSOULA, MT 59802-4407
(406) 549-7325
Mailing address
935 HIGHLAND BLVD, SUITE 4400, BOZEMAN, MT 59715-6904
(406) 219-3311
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
366
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52501
BLUE CROSS
MT
Enumeration date
05/07/2008
Last updated
10/22/2008
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