Southwest Montana Neuropsychology Services, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

SOUTHWEST MONTANA NEUROPSYCHOLOGY SERVICES, PLLC

Practice address

800 W Platinum St Ste F
Butte, MT 59701-2200

Phone

(406) 782-4597

Fax

(406) 782-1347

NPI assigned

Jan 31, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Audrey J Mattson, PH.D.

Title

Owner / Clinical Neuropsychologist

Phone

(406) 782-4597

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1033397146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 223",
            "city": "WARM SPRINGS",
            "state": "MT",
            "postal_code": "597560223",
            "telephone_number": "406-693-2103",
            "fax_number": "406-782-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W PLATINUM ST STE F",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012200",
            "telephone_number": "406-782-4597",
            "fax_number": "406-782-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST MONTANA NEUROPSYCHOLOGY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "MATTSON",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER / CLINICAL NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "406-782-4597",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Butte, MT
• Providers in Butte, MT by specialty
• Psychologist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.