Amy Amidon Phd, PLLC
Clinic/Center, Adult Mental Health in Bozeman, MT. Organization (NPI-2).
NPI number1841720489
StatusActive
Last updated in NPPESJun 15, 2017
Details
- NPI
- 1841720489
- Entity type
- Organization (NPI-2)
- Legal business name
- Amy Amidon Phd, PLLC
- Organization subpart
- No
- Enumeration date
- Jun 15, 2017
- Last updated
- Jun 15, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | 2081 | MT | Yes |
Practice location
1648 Ellis St Ste 302Bozeman, MT 59715-8811
Phone 619-846-3625
Mailing address
3825 Laduke StBozeman, MT 59718-6126
Phone 619-846-3625
Authorized official
Amy Danielle Amidon
Counseling Psychologist
6198463625
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