Provider Demographics
NPI:1699838342
Name:NADASI, GEORGE CHRISTOPHER (PHD, EDS)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:CHRISTOPHER
Last Name:NADASI
Suffix:
Gender:M
Credentials:PHD, EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 W BLUEGRASS DR
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-6982
Mailing Address - Country:US
Mailing Address - Phone:406-471-6312
Mailing Address - Fax:
Practice Address - Street 1:22 2ND AVE W STE 3100
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-6410
Practice Address - Country:US
Practice Address - Phone:406-471-6312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-17
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID202357103TC0700X
MT331103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical