Doctor Name: | MRS. AMY E RUE |
NPI Number: | 1053435149 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, MSCIH, LCPC |
License Number: | 1033 |
Business Practice Address: | 2050 Fairway Dr Ste 202 Bozeman, MT - 597155810 |
Business Phone Number: | 4065791740 |
Business Fax Number: | |
Mailing Address: | 4774 Eden Rd, BOZEMAN |
State: | MT |
Postal Code: | 597189759 |
Phone Number: | 4065791740 |
Fax Number: | |
NPI Enumeration Date: | 03/16/2007 |
NPI Last Update Date: | 10/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 1033 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |