=====================================================
General NPI Number Information
=====================================================
NPI Number | 1942871389
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MCFARLAND NEUROPSYCHOLOGY PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/07/2021
-----------------------------------------------------
Last Update Date | 07/07/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 210 N HIGGINS AVE STE 316
-----------------------------------------------------
City | MISSOULA
-----------------------------------------------------
State | MT
-----------------------------------------------------
Zip | 59802-4443
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-493-6633
-----------------------------------------------------
Fax | 888-629-8125
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 210 N HIGGINS AVE STE 316
-----------------------------------------------------
City | MISSOULA
-----------------------------------------------------
State | MT
-----------------------------------------------------
Zip | 59802-4443
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-493-6633
-----------------------------------------------------
Fax | 888-629-8125
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | NEUROPSYCHOLOGIST
-----------------------------------------------------
Name | DR. CRAIG MCFARLAND
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 520-203-2204
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103G00000X
-----------------------------------------------------
Taxonomy Name | Clinical Neuropsychologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------