AMY AMIDON PHD PLLC NPI 1841720489

NPI Information

  • NPI: 1841720489
  • Provider Name: AMY AMIDON PHD, PLLC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 1648 ELLIS ST STE 302
    BOZEMAN, MT
    ZIP 59715
  • Phone: (619) 846-3625

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NPI Details

AMY AMIDON PHD, PLLC is an adult mental health clinic center in Bozeman, MT. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. AMY AMIDON PHD, PLLC NPI is 1841720489. The provider is registered as an organization entity type.

The provider's business location address is:

1648 ELLIS ST STE 302
BOZEMAN, MT
ZIP 59715-811
Phone: (619) 846-3625

The provider's authorized official is Amy Danielle Amidon .
The authorized official title is Counseling Psychologist and has the following contact phone number (619) 846-3625.

The enumeration date for this NPI number is 6/15/2017 and was last updated on 6/15/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental Health2081MONTANAYes

What is NPI?

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This page was last updated on: 3/30/2025

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