Martha Fairchild Dudley in Bozeman - Professional

Martha Fairchild Dudley - NPI 1366566358

Martha Fairchild Dudley is a Professional in Bozeman, Montana. Martha Fairchild Dudley practices all healthcare services and medical treatments related to Professional. The NPI Number for Martha Fairchild Dudley is 1366566358. The last update date is 2007-07-08.

Martha Fairchild Dudley's current location address is 612 E Main St, Bozeman, Montana. You can contact this provider via phone number 4065390300 and fax number 4065220286. The mailing address for Martha Fairchild Dudley is 612 E Main St, Bozeman, Montana. To know further, please read the information below!

Provider Profile Detail

Provider Name Martha Fairchild Dudley
Address 612 E Main St, Bozeman, Montana
Phone Number 4065390300
Fax Number 4065220286
Sole Proprietor Y
Credentials LCPC

NPI Number Detail

NPI Number 1366566358
Provider Enumeration Date 2007-03-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 612 E Main St
City Bozeman
State Montana (MT)
Post Code 597153719
Phone Number 4065390300
Fax Number 4065220286

Provider's Primary Taxonomy Detail

Speciality Professional
Taxonomy 101Yp2500X
Licence No 1037
Definition:
A general counselor who helps people with personal, social, educational, and career issues.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
255102 MT --

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FAQs about Martha Fairchild Dudley

What is the unique 10-digit identifier code issued to Martha Fairchild Dudley by the Centers for Medicare & Medicaid Services?

The Martha Fairchild Dudley has been assigned the NPI (National Provider Identifier) 1366566358 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Martha Fairchild Dudley's facilities are situated?

The facilities of Martha Fairchild Dudley are physically located at the following address: 612 E Main St, Bozeman, MT, 597153719.

What is Martha Fairchild Dudley's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Martha Fairchild Dudley is Professional, and the taxonomy code that classifies this field of practice is 101Yp2500X.

When did Martha Fairchild Dudley receive its 1366566358 assignment?

The Martha Fairchild Dudley was assigned its 1366566358 on 2007-03-17, which is the date when this unique identifier was issued to the organization.

As of what date were the Martha Fairchild Dudley's details last updated?

The information pertaining to the Martha Fairchild Dudley, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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