Individual
MICHAEL SETTEVENDEMIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
415 N HIGGINS AVE, STE 111A, MISSOULA, MT 59802-4522
(406) 541-8887
Mailing address
PO BOX 3138, MISSOULA, MT 59806-3138
(406) 541-8887
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
767
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0256904
—
MT
Enumeration date
10/03/2006
Last updated
07/08/2007
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