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Contact Information

WANMDIWI J ROSE, PhD
600 CENTRAL AVE STE 311
GREAT FALLS, MT59401-3157
 Phone: 406-866-0013
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for WANMDIWI J ROSE · (Female)

NPI Number 1730687518
Status Active
Credentials PhD
Entity Individual
Enumeration date 01/26/2018
Last updated 12/01/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • MT License # PSY-PSY-LIC-2506
  • WA License # PY60720535
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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