Doctor Name: | BETTY GUTMAN |
NPI Number: | 1023199510 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW LCSW |
License Number: | LCSW 649 |
Business Practice Address: | 618 Helena Ave Suite 212 Helena, MT - 59601 |
Business Phone Number: | 4064496361 |
Business Fax Number: | 4064490521 |
Mailing Address: | 618 Helena Ave, Suite 212 HELENA |
State: | MT |
Postal Code: | 596013625 |
Phone Number: | 4064496361 |
Fax Number: | 4064490521 |
NPI Enumeration Date: | 10/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCSW 649 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |