Bitterroot Psychological Services PLLC

Organization Active NPI Clinical Child & Adolescent Psychologist · Missoula, MT

NPI 1598546103 · NPPES record last updated Nov 7, 2023

Key facts

NPI
1598546103
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Child & Adolescent Psychologist 103TC2200X
Legal business name
BITTERROOT PSYCHOLOGICAL SERVICES PLLC
Practice address
1444 Mansfield Ave
Missoula, MT 59812-0001
Phone
(406) 219-5938
NPI assigned
Oct 10, 2023
Organization subpart
No

Authorized official

Name
Dr. Kaoru Powell, PHD
Title
Clinical Psychologist
Phone
(406) 219-5938

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist
Group: 193400000X SINGLE SPECIALTY GROUP
103TC2200X Yes

Addresses

Primary practice location

1444 Mansfield Ave
Missoula, MT 59812-0001

Mailing address

201 Tyler Way
Lolo, MT 59847-9794

Other providers in Missoula, MT

All providers in Missoula, MT · Clinical Child & Adolescent Psychologist in Montana

Sources for this page

Verify at the official NPI Registry.