NPI 1063567501

Bernard J Balleweg, PHD

Practitioner Psychologist Missoula, MT

Practice location

Address: 125 Bank Street Suite 310, Missoula, MT 59802
Phone: (406) 549-7325
Fax: (406) 549-7559

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence MT250 (MT)

Other Psychologist providers in Montana →

Registry record

NPI: 1063567501
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.