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General NPI Number Information
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NPI Number | 1023119450
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Entity Type | Organization
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Legal Business Name | CATHERINE ANNE MACLEAN PHD PC
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 12/14/2010
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Provider Practice Location Address
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Address Line | 3825 VALLEY COMMONS DRIVE SUITE 4
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City | BOZEMAN
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State | MT
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Zip | 59718
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Country | US
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Telephone | 406-585-9890
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Fax | 406-556-2173
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Provider Business Mailing Address
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Address Line | PO BOX 6576
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City | BOZEMAN
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State | MT
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Zip | 59771
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Country | US
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Telephone | 406-585-9890
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Fax | 406-582-1116
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Authorized Official
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Title or Position | LICENSED PSYCHOLOGIST
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Name | DR. CATHERINE ANNE MACLEAN
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Credential | PHD
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Telephone | 406-585-9890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 180
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License Number State | MT
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