IndividualActive
Bernard Balleweg, PHD
NPI 1063567501 · Psychologist · Missoula, MT
Provider details
- NPI number
- 1063567501
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- License
- MT250 (MT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
125 Bank Street
Suite 310
Missoula, MT 59802
Phone: (406) 549-7325
Fax: (406) 549-7559
Approximate (ZIP-level) locationGet directions
Mailing address
125 Bank Street
Missoula, MT 59802
Registry dates
- Enumerated
- 2007-01-24
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.