Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XM0800X | Mental Health | OTP-OT-LIC-7711 | MT |
N | 225XP0200X | Occupational Therapist - Pediatrics | OTP-OT-LIC-7711 | MT |
NPI | 1235732991 |
---|---|
Provider Name | Dr. Carrie Behrends |
First Address | Billings, MT 59102-1739 |
Second Address | Billings, MT 59106-3538 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2020 |
Last Update Date | 17/11/2020 |