MEDICARE: DR. ANDREA SENTENEY FISCUS 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
1	103TC0700X	Clinical Psychologist	319	MT

Other Identifiers

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

General Provider Information

NPI Number	:	1356343842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREA SENTENEY FISCUS PH.D.

Provider Business Mailing Address
First Line	:	PO BOX 20976
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59104-0976
Country	:	US
Telephone Number	:	406-671-0454
Fax Number	:

Provider Business Practice Location Address
First Line	:	1643 24TH ST W
Second Line	:	SUITE 309
City	:	BILLINGS
State	:	MT
Zip	:	59102-2677
Country	:	US
Telephone Number	:	406-671-0454
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	11/19/2015

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