Gillispie, Katherine L

Gillispie, Katherine L is an sole proprietor health care provider with primary practice located at 210 N Higgins Ave Ste 337 , Missoula MT 59802-4443. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gillispie, Katherine L can be contacted via phone (406) 529-9516.

Contact Information

Primary practice address
210 N Higgins Ave Ste 337 Missoula MT 59802-4443
Fax: (888) 978-6176
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 964 Montana
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-12-10348 Montana

Profile Details

NPI number 1033475736
LBN Legal business name Gillispie, Katherine L
Credentials LCSW, BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2012
Last updated Jan 3rd, 2022 - about 4 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 1033475736 NPPES
Montana MEDICAID 77039

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