Organization
WILLIAM L. SUDA, PH.D., P.C.
Active
Organization
WILLIAM L. SUDA, PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM LEROY SUDA PH.D. (PRESIDENT)
(406) 363-2266
Entity
Organization
Contact information
Practice address
1201 WESTWOOD DR, SUITE C, HAMILTON, MT 59840-2305
(406) 363-2266
(406) 363-2266
Mailing address
1201 WESTWOOD DR, SUITE C, HAMILTON, MT 59840-2305
(406) 363-2266
(406) 363-2266
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
89
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163709
MENTAL HEALTH NETWORK
MT
05
—
49-1244
—
MT
01
—
51550
BLUE CROSS OF MONTANA
MT
Enumeration date
08/08/2007
Last updated
08/08/2007
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