Provider Demographics
NPI:1023021656
Name:LAIR-MURRY, BARBARA ANN (LCSW)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANN
Last Name:LAIR-MURRY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:168 GARETH WAY
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-7584
Mailing Address - Country:US
Mailing Address - Phone:406-599-4899
Mailing Address - Fax:
Practice Address - Street 1:1087 STONERIDGE DR
Practice Address - Street 2:SUITE 2C
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-7057
Practice Address - Country:US
Practice Address - Phone:406-586-9251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT735-LCSW1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical