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Dr. Cheryl Rae Blank, PHD
Psychologist in Bozeman, Montana
NPI 1932221058

Cheryl Rae Blank is a Psychologist based in Bozeman, MT. Cheryl Rae Blank practices in Bozeman, MT and has the professional credentials of PHD. The NPI Number for Cheryl Rae Blank is 1932221058 and holds a License No. 457 (Montana).

The current practice location address for Cheryl Rae Blank is 121 W Kagy Blvd, Bozeman, MT and can be reached out via phone at 406-587-7468 and via fax at 406-587-4520.

Location: 121 W Kagy Blvd, Bozeman, MT, 59715-9330
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932221058
Provider Name
Cheryl Rae Blank
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
121 W Kagy Blvd, Bozeman, MT, 59715-9330
Phone Number
406-587-7468
Fax Number
406-587-4520
Provider Enumeration Date
04/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
51011 01 MT BLUE CROSS - MSU
0000490807 05 MT
264349 01 MT NEW WEST
86-1155463 01 MT TRI CARE
52820 01 MT BLUE CROSS - PRIVATE PRAC
institution
Provider Business Practice Location Address Details
Address
121 W Kagy Blvd
City
Bozeman
State
Montana
Zip
59715-6000
Phone Number
406-587-7468
Fax Number
406-587-4520
person
Provider Business Mailing Address Details
Address
121 W Kagy Blvd
City
Bozeman
State
Montana
Zip
59715-6000
Phone Number
406-587-7468
Fax Number
406-587-4520
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
202 (Montana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
457 (Montana)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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