MR. Bernard J Balleweg, PHD

NPI #1063567501 in Missoula, Montana

Provider Information

NPI Number: 1063567501
Entity Type: Individual
Name: MR. Bernard J Balleweg, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PHD
Enumeration Date: Jan 24, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 125 BANK STREET
Address 2: SUITE 310
City: Missoula
State: Montana
ZIP Code: 59802
Phone: (406) 549-7325

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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