Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TR0400X | Rehabilitation Psychologist | 171 | MT |
NPI | 1659442804 |
---|---|
Provider Name | Dr. William Arl Hahnstadt |
First Address | Missoula, MT 59804-4510 |
Second Address | Missoula, MT 59804-4510 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2006 |
Last Update Date | 24/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0492999 | (05) | MT |