Ettel, Therese Dolores
Ettel, Therese Dolores is an individual health care provider with primary practice located at 902 Wyoming Avenue , Billings MT 59101. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Ettel, Therese Dolores can be contacted via phone (406) 254-0192.Contact Information
Primary practice address
902 Wyoming Avenue
Billings MT 59101
Phone: (406) 254-0192
Fax: (406) 254-0091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 259 | Montana |
Profile Details
| NPI number | 1871711887 |
|---|---|
| LBN Legal business name | Ettel, Therese Dolores |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871711887 | NPPES |
| Montana | MEDICAID | 0492235 |
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