Katherine L. Gillispie, Lcsw, Bcba | |
415 North Higgins Avenue Suite 111a Missoula MT 59802-9926 | |
(406) 529-9516 | |
(888) 978-6176 |
Full Name | Katherine L. Gillispie, Lcsw, Bcba |
---|---|
Speciality | Social Worker - Clinical |
Location | 415 North Higgins Avenue, Missoula, Montana |
Authorized Official Name and Position | Katherine L. Gillispie (OWNER) |
Authorized Official Contact | 4065299516 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Katherine L. Gillispie, Lcsw, Bcba Po Box 5814 Missoula MT 59806-5814 Ph: (406) 529-9516 | Katherine L. Gillispie, Lcsw, Bcba 415 North Higgins Avenue Suite 111a Missoula MT 59802-9926 Ph: (406) 529-9516 |
NPI Number | 1093259137 |
---|---|
Provider Enumeration Date | 12/08/2016 |
Last Update Date | 12/12/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093259137 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 964 (Montana) | Primary |
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