| Amy Amidon Phd, Pllc | |
|
1648 Ellis St Ste 302 Bozeman MT 59715-8811 | |
| (619) 846-3625 | |
| Not Available |
| Full Name | Amy Amidon Phd, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1648 Ellis St Ste 302, Bozeman, Montana |
| Authorized Official Name and Position | Amy Danielle Amidon (COUNSELING PSYCHOLOGIST) |
| Authorized Official Contact | 6198463625 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Amidon Phd, Pllc 3825 Laduke St Bozeman MT 59718-6126 Ph: (619) 846-3625 | Amy Amidon Phd, Pllc 1648 Ellis St Ste 302 Bozeman MT 59715-8811 Ph: (619) 846-3625 |
| NPI Number | 1841720489 |
|---|---|
| Provider Enumeration Date | 06/15/2017 |
| Last Update Date | 06/15/2017 |
| Medicare PECOS PAC ID | 7810263035 |
|---|---|
| Medicare Enrollment ID | O20220908002197 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841720489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 2081 (Montana) | Primary |
| Provider Name | Amy Amidon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205062643 PECOS PAC ID: 3375725104 Enrollment ID: I20220908002277 |
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