Big Sky Psychological Consortium, Pllc

NPI #1205249463 in Bozeman, Montana

Provider Information

NPI Number: 1205249463
Entity Type: Organization
Organization Name: Big Sky Psychological Consortium, Pllc
Primary Specialty: Psychologist
Enumeration Date: Jun 5, 2014
Last Updated: Jun 5, 2014

Practice Location

Address: 1648 ELLIS ST STE 302
City: Bozeman
State: Montana
ZIP Code: 59715-8811
Phone: (406) 582-1321

Authorized Official

Name: DR. MICHELE CATHERINE MCKINNIE, PSY.D.
Title: OWNER/PSYCHOLOGIST
Phone: (406) 582-1321

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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