Harrison, John Robert

Harrison, John Robert is an individual health care provider with primary practice located at 2825 Fort Missoula Rd Ste 301, Missoula MT 59804-7403. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Harrison, John Robert can be contacted via phone (406) 327-4688.

Contact Information

Primary practice address
2825 Fort Missoula Rd Ste 301 Missoula MT 59804-7403
Phone: (406) 327-4688
Fax: (406) 327-4291
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY-PSY-LIC-226 Montana
Behavioral Health & Social Service Providers / School 103TS0200X 59040 Montana
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 226 Montana

Profile Details

NPI number 1295750636
LBN Legal business name Harrison, John Robert
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Sep 11th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295750636 NPPES
Montana MEDICAID 0492524
Montana Other 000052321

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