Organization Name: | CATHERINE ANNE MACLEAN PHD PC |
NPI Number: | 1023119450 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CATHERINE ANNE MACLEAN (LICENSED PSYCHOLOGIST) |
Mailing Address: | 3825 Valley Commons Drive Suite 4 Bozeman |
State: | MT US |
Postal Code: | 59718 |
Phone Number: | 4065859890 |
Fax Number: | 4065562173 |
NPI Enumeration Date: | 09/26/2006 |
NPI Last Update Date: | 12/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 180 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |