Provider Demographics
NPI:1780910422
Name:SZALDA-PETREE, ANN C (LCSW)
Entity type:Individual
Prefix:DR
First Name:ANN
Middle Name:C
Last Name:SZALDA-PETREE
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 1:306 WESTVIEW DR
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59803-1529
Mailing Address - Country:US
Mailing Address - Phone:406-550-2271
Mailing Address - Fax:
Practice Address - Street 1:735 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59802-5585
Practice Address - Country:US
Practice Address - Phone:406-550-2271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-01
Last Update Date:2009-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT8931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical