Mudie, Patrice L

Mudie, Patrice L is an individual health care provider with primary practice located at 101 E Broadway St Ste 204 , Missoula MT 59802-4510. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Mudie, Patrice L can be contacted via phone (406) 546-7761.

Contact Information

Primary practice address
101 E Broadway St Ste 204 Missoula MT 59802-4510
Phone: (406) 546-7761
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1153 Montana
Behavioral Health & Social Service Providers / School 103TS0200X 76159 Montana

Profile Details

NPI number 1538489380
LBN Legal business name Mudie, Patrice L
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2010
Last updated Jun 21st, 2010 - about 15 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 1538489380 NPPES
Montana MEDICAID 1538489380

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