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NPI Code Detail

MEDICARE: DR. DAWN MARIE BIRK PH.D.

MEDICARE: DR. DAWN MARIE BIRK PH.D.
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
1103TC2200XClinical Child & Adolescent Psychologist266MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295762193
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAWN MARIE BIRK PH.D.
Provider Business Mailing Address
First Line : 1018 N 30TH ST
Second Line :
City : BILLINGS
State : MT
Zip : 59101-0732
Country : US
Telephone Number : 406-252-0011
Fax Number : 406-256-7074
Provider Business Practice Location Address
First Line : 1018 N 30TH ST
Second Line :
City : BILLINGS
State : MT
Zip : 59101-0732
Country : US
Telephone Number : 406-252-0011
Fax Number : 406-245-7074
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2006
Last Update Date : 04/24/2025

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