| Specialty | Taxonomy Code | |
|---|---|---|
| * | Intellectual & Developmental Disabilities | 103TM1800X |
| Counselor | 101Y00000X | |
| Psychologist | 103T00000X |
* Indicates primary specialty
| NPI Number | 1326117409 |
| Legal business name LBN |
MOUNTAIN STATE PSYCHOLOGICAL SERVICES, PLLC |
| Authorized official | SARAH BURKE - (DIRECTOR OF OPERATIONS) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 11/06/2006 |
| Last updated | 09/11/2025 - About 9 months ago |
| Sole proprietor1 | Not specified |
| Identifiers |
|
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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