DR. CRAIG HAROLD RAVESLOOT (NPI# 1841324738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841324738 |
| Entity Type | Individual |
| Full Name | DR. CRAIG HAROLD RAVESLOOT |
| Credential | PHD |
| Practice Address |
101 E Broadway St Ste 310 Missoula MT 59802-4510 |
| Mailing Address |
500 Eddy Ave Missoula MT 59801-2803 |
| Practice Telephone | 4065315882 |
| Mailing Telephone | 4065315882 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2011-02-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
298 | MT | Behavioral Health & Social Service Providers |
| Street Address |
101 E BROADWAY ST STE 310 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59802-4510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945921 | Montana Endoscopy Center, Pllc | Clinic/Center | 1930 W Broadway, Ste B, Missoula, MT 59802 | 2020-06-08 |
| 1194364091 | Tommie Lynn Perusich | Nurse Practitioner | 1120 Cedar St., Missoula, MT 59802 | 2019-12-26 |
| 1386122752 | The Hope Health Alliance, Inc. | Case Management | 314 White House Ln, Missoula, MT 59802 | 2018-07-30 |
| 1881181444 | Carol Anne Lesser | Massage Therapist | 1918 Birch St, Missoula, MT 59802 | 2018-04-19 |
| 1528587581 | Missoula Aids Fund, Inc. | Clinic/Center | 1500 W. Broadway Suite A, Missoula, MT 59802 | 2017-09-11 |
| 1942740667 | Gabrielle Shulman | Counselor | 415 N Higgins Ave Ste 14, Missoula, MT 59802 | 2017-02-28 |
| 1053798736 | Endurance Physio | Clinic/Center | 214 E. Main St, Missoula, MT 59802 | 2015-05-01 |
| 1720481971 | Anna Golding | Counselor | 1325 Wyoming Street, Missoula, MONTANA 59802 | 2014-10-02 |
| 1003255803 | Jennifer Dawn Danielson | Speech-Language Pathologist | 2408 Duncan Drive, Missoula, MT 59802 | 2013-06-14 |
| 1437595725 | Partnership Health Center Inc | Clinic/Center | 1150 Sherwood St, Missoula, MT 59802 | 2013-05-14 |
| Find all providers in zip 59802 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164760237 | Bryan Neil Cochran | Psychologist | Sb143 Dept of Psychology, Missoula, MT 59812-0001 | 2013-01-24 |
| 1639373939 | M.j.h.h., Inc. | Psychologist | 445 S 5th St W, Missoula, MT 59801-2619 | 2007-06-12 |
| 1013110113 | Janet P. Wollersheim | Psychologist | 1900 Brooks St, Missoula, MT 59801-6644 | 2007-06-06 |
| 1861694119 | Ammons Psychological Services, Pllc | Psychologist | 2831 Fort Missoula Rd Ste 201, Physicians' Center #2, Missoula, MT 59804-7401 | 2007-05-31 |
| 1245357177 | Nadine M. Wisniewski | Psychologist | 27 Fort Missoula Rd, Ste B4, Missoula, MT 59804-7206 | 2007-03-24 |
| 1629127063 | Christine Fiore | Psychologist | 1444 Mansfield Ave, Missoula, MT 59812-0001 | 2007-01-08 |
| 1083778351 | David Schuldberg | Psychologist | 1444 Mansfield, (cpc), Missoula, MT 59812-1584 | 2006-12-21 |
| 1609942069 | Danette M Wollersheim | Psychologist | 129 W Kent Ave, Ste I, Missoula, MT 59801-6730 | 2006-11-28 |
| 1790855443 | Cindy L Miller | Psychologist | 1805 Bancroft, Ste I, Missoula, MT 59801 | 2006-11-09 |
| 1568558591 | Mary Joan Hess-homeier | Psychologist | 445 S. Fifth St., W., Missoula, MT 59801-2619 | 2006-10-05 |
| Find all providers in MISSOULA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.