| NPI | 1841437142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ANNE SIMON-THOMAS Clinical Psychologist 406-253-7745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MT 355) |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2009-01-21 |