| NPI | 1316089451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY MICHAEL CORY Owner Member 406-582-4466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MT 368) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |