Kelly Haugen, PSYD
Individual provider Active NPI Psychologist · Clancy, MT
NPI 1346618147 · NPPES record last updated Jul 6, 2023
Key facts
- NPI
- 1346618147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 3370 (MT)
- Practice address
- 20 Paradise LN
Clancy, MT 59634-9572 - Phone
- (406) 209-7701
- NPI assigned
- Sep 10, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3370 | MT | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3370 | MT | Yes |
Addresses
Primary practice location
20 Paradise LN
Clancy, MT 59634-9572
Mailing address
PO Box 6701
Helena, MT 59604-6701
Phone (406) 209-7701
Other providers in Clancy, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.