Organization
WAHLBERG PSYCHOLOGY OFFICE, PC
Active
Parent organization
WAHLBERG PSYCHOLOGY OFFICE, PC
Other names
James Wahlberg, Ph.D.
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAHLBERG PSYCHOLOGY OFFICE, PC
Authorized official
DR. JAMES LEE WAHLBERG PH.D (OWNER)
(406) 728-8818
Entity
Organization
Contact information
Practice address
2831 FORT MISSOULA RD, SUITE 201, MISSOULA, MT 59804-7419
(406) 728-8818
Mailing address
2831 FORT MISSOULA RD, SUITE 201, MISSOULA, MT 59804-7419
(406) 728-8818
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
109
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
492596
—
MT
01
—
51670
BLUE CROSS BLUE SHIELD
MT
Enumeration date
07/06/2016
Last updated
07/06/2016
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