MEDICARE: 121 PSYCHOTHERAPY PLLC

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

General Provider Information

NPI Number	:	1770874463
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	121 PSYCHOTHERAPY PLLC

Provider Business Mailing Address
First Line	:	121 HICKORY ST
Second Line	:	SUITE 1
City	:	MISSOULA
State	:	MT
Zip	:	59801-1896
Country	:	US
Telephone Number	:	406-830-3069
Fax Number	:	406-830-3069

Provider Business Practice Location Address
First Line	:	121 HICKORY ST
Second Line	:	SUITE 1
City	:	MISSOULA
State	:	MT
Zip	:	59801-1896
Country	:	US
Telephone Number	:	406-830-3069
Fax Number	:	406-830-3069

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ALISON COBB
Credential	:	PHD
Telephone Number	:	406-830-3069

Provider Enumeration Date	:	04/28/2011
Last Update Date	:	06/03/2011

Similar Medicare Providers

1528096146 — JOEY MICHELE BANKS MD
Practice Location Address:

121 HICKORY ST STE 4
MISSOULA, MT
59801-1896

Practice Phone: 406-541-2012
Practice Fax: 406-296-4320

1073551818 — DR. LINDA M FREY PH.D.
Practice Location Address:

121 HICKORY ST , STE 1
MISSOULA, MT
59801-1896

Practice Phone: 406-830-3116
Practice Fax: 406-830-3105

1538313762 — DR. ALISON M COBB PHD
Practice Location Address:

121 HICKORY ST , SUITE 1
MISSOULA, MT
59801-1896

Practice Phone: 406-546-2222
Practice Fax:

1578006383 — MEGHAN GILL PHD
Practice Location Address:

121 HICKORY ST STE 1
MISSOULA, MT
59801-1896

Practice Phone: 208-610-6831
Practice Fax:

1174385959 — ALPENGLOW HOMECARE LLC
Practice Location Address:

121 HICKORY ST STE 3
MISSOULA, MT
59801-1896

Practice Phone: 406-552-1771
Practice Fax:

1205654209 — INNER JOURNEY HEALTHCARE PLLC
Practice Location Address:

121 HICKORY ST STE 1
MISSOULA, MT
59801-1896

Practice Phone: 406-296-5071
Practice Fax:

Directions to “121 PSYCHOTHERAPY PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.