Vincent Bryan River in Polson - Clinical Child & Adolescent
Vincent Bryan River - NPI 1497821672
Vincent Bryan River is a Clinical Child & Adolescent in Polson, Montana. Vincent Bryan River practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Vincent Bryan River is 1497821672. The last update date is 2012-10-31.
Vincent Bryan River's current location address is 1201 Main St, Polson, Montana. You can contact this provider via phone number 4068838126 and fax number 4068839226. The mailing address for Vincent Bryan River is 1201 Main St, Polson, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Vincent Bryan River |
|---|---|
| Address | 1201 Main St, Polson, Montana |
| Phone Number | 4068838126 |
| Fax Number | 4068839226 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1497821672 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2012-10-31 |
Provider Mailing Address Detail
| Address | 1201 Main St |
|---|---|
| City | Polson |
| State | Montana (MT) |
| Post Code | 598605333 |
| Phone Number | 4068838126 |
| Fax Number | 4068839226 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 328 |
|
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 490739 | MT | -- | |
| 51871 | MT | BLUE CROSS BLUE SHIELD | |
| 7718 59860 0000 | MT | TRICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Vincent Bryan River by the Centers for Medicare & Medicaid Services?
The Vincent Bryan River has been issued the NPI (National Provider Identifier) 1497821672 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Vincent Bryan River is geographically located?
The Vincent Bryan River is physically situated at the following location: 1201 Main St, Polson, MT, 598605333.
What is Vincent Bryan River's specialized field of practice, and what is the corresponding taxonomy classification code?
The Vincent Bryan River's area of specialization is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this field of practice is 103Tc2200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1497821672 to Vincent Bryan River?
The Centers for Medicare & Medicaid Services originally issued the 1497821672 to Vincent Bryan River on 2006-11-28.
As of what date was the information regarding Vincent Bryan River, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Vincent Bryan River, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-10-31.
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