J. William Cook, PH.D.

Individual provider Active NPI Clinical Psychologist · Missoula, MT

NPI 1699862672 · NPPES record last updated Sep 11, 2025

Key facts

NPI
1699862672
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
84 (MT)
Practice address
T-214 Fort Missoula
Missoula, MT 59804-7209
Phone
(406) 396-8472
Fax
(406) 542-0143
NPI assigned
Oct 9, 2006
Sex
Male
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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
84MTMDPhysician Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 84 MT
Clinical Psychologist 103TC0700X 84 MT Yes

Addresses

Primary practice location

T-214 Fort Missoula
Missoula, MT 59804-7209

Mailing address

T-214 Fort Missoula
Missoula, MT 59804-7209
Phone (406) 396-8472

Other providers in Missoula, MT

All providers in Missoula, MT · Clinical Psychologist in Montana

Sources for this page

Verify at the official NPI Registry.