Doctor Name: | ALBINUS EDWARD HEIDT |
NPI Number: | 1275697336 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCPC |
License Number: | 771 |
Business Practice Address: | 204 N Kendrick Ave Glendive, MT - 593301700 |
Business Phone Number: | 4063776075 |
Business Fax Number: | 4063778013 |
Mailing Address: | 204 North Kendrick Ave, GLENDIVE |
State: | MT |
Postal Code: | 59330 |
Phone Number: | 4063776075 |
Fax Number: | 4063778013 |
NPI Enumeration Date: | 12/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 771 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |