Bernard J Balleweg in Missoula - Psychologist
Bernard J Balleweg - NPI 1063567501
Bernard J Balleweg is a Psychologist in Missoula, Montana. Bernard J Balleweg practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Bernard J Balleweg is 1063567501. The last update date is 2007-07-08.
Bernard J Balleweg's current location address is 125 Bank Street, Missoula, Montana. You can contact this provider via phone number 4065497325 and fax number 4065497559. The mailing address for Bernard J Balleweg is 125 Bank Street, Missoula, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bernard J Balleweg |
|---|---|
| Address | 125 Bank Street, Missoula, Montana |
| Phone Number | 4065497325 |
| Fax Number | 4065497559 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1063567501 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 125 Bank Street |
|---|---|
| City | Missoula |
| State | Montana (MT) |
| Post Code | 59802 |
| Phone Number | 4065497325 |
| Fax Number | 4065497559 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | MT250 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 492700 | MT | -- | |
| 53240 | MT | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Bernard J Balleweg by the Centers for Medicare & Medicaid Services?
The Bernard J Balleweg has been assigned the NPI (National Provider Identifier) 1063567501 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Bernard J Balleweg is geographically located?
The Bernard J Balleweg is physically situated at the following location: 125 Bank Street, Missoula, MT, 59802.
What is Bernard J Balleweg's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bernard J Balleweg is Psychologist, and the taxonomy classification code that categorizes this area of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1063567501 to Bernard J Balleweg?
The Centers for Medicare & Medicaid Services assigned the 1063567501 to Bernard J Balleweg on 2007-01-24.
As of what date was the information pertaining to Bernard J Balleweg, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bernard J Balleweg, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.