Spradlin, Dylan Ann

Spradlin, Dylan Ann is an individual health care provider with primary practice located at 4617 Brisbane Pl , Missoula MT 59808-5503. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Spradlin, Dylan Ann can be contacted via phone (509) 387-1083.

Contact Information

Primary practice address
4617 Brisbane Pl Missoula MT 59808-5503
Phone: (509) 387-1083
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CL60230055 Washington
Behavioral Health & Social Service Providers / Clinical 1041C0700X BBH-SWLC-LIC-56857 Montana

Profile Details

NPI number 1114324902
LBN Legal business name Spradlin, Dylan Ann
Credentials BBH-SWLC-LIC-56957
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2014
Last updated Jul 9th, 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 1114324902 NPPES
Montana Other BBH-SWLC-LIC-56857 BOARD OF BEHAVIORAL HEALTH OF MONTANA

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