| Doctor Name: | TIMOTHY HARTMAN SOULE |
| NPI Number: | 1477867364 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | 903 |
| Business Practice Address: | 205 E Park Ave Anaconda, MT - 597112340 |
| Business Phone Number: | 4065638117 |
| Business Fax Number: | 4065635956 |
| Mailing Address: | 20 3rd St E, KALISPELL |
| State: | MT |
| Postal Code: | 599014573 |
| Phone Number: | 4067559471 |
| Fax Number: | 4067568113 |
| NPI Enumeration Date: | 08/03/2010 |
| NPI Last Update Date: | 08/03/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 903 |
| 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 |