Craig Harold Ravesloot in Missoula - Clinical
Craig Harold Ravesloot - NPI 1841324738
Craig Harold Ravesloot is a Clinical in Missoula, Montana. Craig Harold Ravesloot practices all healthcare services and medical treatments related to Clinical. The NPI Number for Craig Harold Ravesloot is 1841324738. The last update date is 2011-02-28.
Craig Harold Ravesloot's current location address is 500 Eddy Ave, Missoula, Montana. You can contact this provider via phone number 4065315882. The mailing address for Craig Harold Ravesloot is 500 Eddy Ave, Missoula, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Craig Harold Ravesloot |
|---|---|
| Address | 500 Eddy Ave, Missoula, Montana |
| Phone Number | 4065315882 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1841324738 |
|---|---|
| Provider Enumeration Date | 2007-03-15 |
| Last Updated Date | 2011-02-28 |
Provider Mailing Address Detail
| Address | 500 Eddy Ave |
|---|---|
| City | Missoula |
| State | Montana (MT) |
| Post Code | 598012803 |
| Phone Number | 4065315882 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 298 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the Craig Harold Ravesloot's unique identification number?
The Craig Harold Ravesloot has been assigned the NPI (National Provider Identifier) Number 1841324738 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Craig Harold Ravesloot?
The Craig Harold Ravesloot is physically situated at 500 Eddy Ave, in the city of Missoula, state of MT, with the postal code 598012803.
What is Craig Harold Ravesloot's area of expertise and its corresponding taxonomy classification?
The Craig Harold Ravesloot's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
When was the Craig Harold Ravesloot's 1841324738 issued?
The Craig Harold Ravesloot's 1841324738 was issued on 2007-03-15.
When was the information pertaining to Craig Harold Ravesloot most recently updated or revised?
The details related to Craig Harold Ravesloot, including its address, specialty, and other relevant information, were last updated or revised on 2011-02-28.
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