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NPI Code Detail

MEDICARE: CYRENE UNDERHILL

MEDICARE: CYRENE UNDERHILL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1053937821
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYRENE UNDERHILL
Provider Business Mailing Address
First Line : 233 E MAIN ST STE 401
Second Line :
City : BOZEMAN
State : MT
Zip : 59715-5045
Country : US
Telephone Number : 510-788-0876
Fax Number :
Provider Business Practice Location Address
First Line : 233 E MAIN ST STE 401
Second Line :
City : BOZEMAN
State : MT
Zip : 59715-5045
Country : US
Telephone Number : 866-365-3295
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2020
Last Update Date : 11/21/2023

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Directions to “ CYRENE UNDERHILL ” Practice Location

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