Provider Demographics
NPI:1770884512
Name:DURAN, EDUARDO F (PSYCHOLOGIST)
Entity type:Individual
Prefix:DR
First Name:EDUARDO
Middle Name:F
Last Name:DURAN
Suffix:
Gender:M
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 E MAIN ST STE 7
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-4739
Mailing Address - Country:US
Mailing Address - Phone:406-600-4120
Mailing Address - Fax:
Practice Address - Street 1:37 E MAIN ST STE 7
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-4739
Practice Address - Country:US
Practice Address - Phone:406-600-4120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-10
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT403103TC0700X
CAPSY10081103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical