Organization
ASPEN PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL RAY BUTZ PH.D. (CEO LICENSED PSYCHOLOGIST)
(406) 294-9677
Entity
Organization
Contact information
Practice address
2810 CENTRAL AVE,, SUITE A, BILLINGS, MT 59102-4651
(406) 294-9677
Mailing address
2810 CENTRAL AVE,, SUITE A, BILLINGS, MT 59102-4651
(406) 294-9677
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
365
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0492643
—
MT
01
—
1497795694
NPI TYPE 1
MT
Enumeration date
05/03/2007
Last updated
08/22/2020
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