Mary Joan Hess-Homeier, PH.D.

Individual provider Active NPI Clinical Psychologist · Missoula, MT

NPI 1568558591 · NPPES record last updated Feb 16, 2012

Key facts

NPI
1568558591
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
131 (MT)
Practice address
445 S. Fifth St., W.
Missoula, MT 59801-2619
Phone
(406) 543-6736
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Ferriter LLC Past
since May 29, 2016
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 131 MT Yes

Addresses

Primary practice location

445 S. Fifth St., W.
Missoula, MT 59801-2619

Mailing address

445 S. Fifth St., W.
Missoula, MT 59801-2619
Phone (406) 543-6736

Other identifiers

IdentifierTypeStateIssuer
5181-0OtherMTMJHH, INC BLUE CROSS/BL
49-0776MedicaidMT

Other providers in Missoula, MT

All providers in Missoula, MT · Clinical Psychologist in Montana

Sources for this page

Verify at the official NPI Registry.