| Organization Name: | MONTANA NEUROBEHAVIORAL SPECIALISTS |
| NPI Number: | 1013961671 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAURA K LUNDIN (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 900 N Orange St Third Floor Missoula |
| State: | MT US |
| Postal Code: | 598022998 |
| Phone Number: | 4063273350 |
| Fax Number: | 4063273390 |
| NPI Enumeration Date: | 05/19/2006 |
| NPI Last Update Date: | 02/15/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |