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Contact Information

BIG SKY PSYCHOLOGICAL CONSORTIUM, PLLC
1648 ELLIS ST STE 302
BOZEMAN, MT59715-8811
 Phone: 406-582-1321
 Fax: 406-587-1513
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BIG SKY PSYCHOLOGICAL CONSORTIUM, PLLC

NPI # 1205249463
LBN Legal business name BIG SKY PSYCHOLOGICAL CONSORTIUM, PLLC
Authorized official MICHELE MCKINNIE - (OWNER/PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 06/05/2014
Last updated 06/05/2014 - About 12 years ago
Identifiers
MT License # 338
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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