Doctor Name: | TIFFANY M BARTOLOMEI |
NPI Number: | 1043415912 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | 1393 |
Business Practice Address: | 420 W Mendenhall St Bozeman, MT - 597153449 |
Business Phone Number: | 4065871181 |
Business Fax Number: | 4065871801 |
Mailing Address: | 421 N 3rd Ave, BOZEMAN |
State: | MT |
Postal Code: | 597153458 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/19/2007 |
NPI Last Update Date: | 11/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 1393 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |