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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