Healthcare Provider Details

I. General information

NPI: 1740476225
Provider Name (Legal Business Name): MONTANA NEUROPSYCHOLOGICAL CORPORATION PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2007
Last Update Date: 10/25/2021
Certification Date: 10/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 W 6TH AVE STE 4G
HELENA MT
59601-5072
US

IV. Provider business mailing address

7 W 6TH AVE STE 607
HELENA MT
59601-5036
US

V. Phone/Fax

Practice location:
  • Phone: 406-457-5488
  • Fax: 406-457-5488
Mailing address:
  • Phone: 406-457-5488
  • Fax: 406-204-0217

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number StateMT

VIII. Authorized Official

Name: JAMES VERRILL ENGLISH
Title or Position: NEUROPSYCHOLOGIST
Credential: PSYD
Phone: 406-457-5488