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NPI Code Detail

MEDICARE: PAMELA GALE BING PERRY MBA, MS, DMFT, LMFT

MEDICARE: PAMELA GALE BING PERRY MBA, MS, DMFT, LMFT
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 TherapistSWP-LMFT-LIC 58MT

General Provider Information

NPI Number : 1679911168
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA GALE BING PERRY MBA, MS, DMFT, LMFT
Provider Business Mailing Address
First Line : PO BOX 30053
Second Line :
City : BILLINGS
State : MT
Zip : 59107-0053
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 902 WYOMING AVE
Second Line :
City : BILLINGS
State : MT
Zip : 59101-1637
Country : US
Telephone Number : 406-850-9219
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2013
Last Update Date : 06/06/2013

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