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Contact Information

VINCENT B RIVER, PhD
1201 MAIN ST
SUITE A
POLSON, MT59860-5333
 Phone: 406-883-8126
 Fax: 406-883-9226
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Forensic

103TF0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for VINCENT B RIVER · (Male)

NPI # 1497821672
Status Active
Credentials PhD
Entity Individual
Enumeration date 11/28/2006
Last updated 10/31/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • MT License # 328
  • MT Medicaid 490739
  • MT Other 51871 BLUE CROSS BLUE SHIELD
  • MT Other 7718 59860 0000 TRICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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