Healthcare Provider Details

I. General information

NPI: 1013078336
Provider Name (Legal Business Name): KAREN ANN NIELSON-SALOIS PSYCHOLOGIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 02/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35401 MISSION DR.
ST. IGNATIUS MT
59865
US

IV. Provider business mailing address

P.O. BOX 880
ST. IGNATIUS MT
59865
US

V. Phone/Fax

Practice location:
  • Phone: 406-745-3525
  • Fax: 406-745-3529
Mailing address:
  • Phone: 406-745-3525
  • Fax: 406-745-3529

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number016483-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number016483
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: