Organization
AMY AMIDON PHD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY DANIELLE AMIDON PHD (COUNSELING PSYCHOLOGIST)
(619) 846-3625
Entity
Organization
Contact information
Practice address
1648 ELLIS ST STE 302, BOZEMAN, MT 59715-8811
(619) 846-3625
Mailing address
3825 LADUKE ST, BOZEMAN, MT 59718-6126
(619) 846-3625
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
2081
MT
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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