Search › Montana › 103T00000X
Anisa Goforth, PHD, NCSP
NPI 1730585217 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1444 Mansfield Ave
Missoula, MT 59812 - Phone
- (406) 493-6471
- Organisation at this address
- Clinical Psychology Center
Bitterroot Psychological Services PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 103TS0200X
- Licence states on file
- MT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-11-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Montana