Individual
AMY AMIDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1648 ELLIS ST STE 302, BOZEMAN, MT 59715-8811
(619) 846-3625
(619) 846-3625
Mailing address
3825 LADUKE ST, BOZEMAN, MT 59718-6126
(619) 846-3625
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
2081
MT
Other
Enumeration date
05/29/2009
Last updated
07/21/2022
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