Utzinger, Tia
Utzinger, Tia is an sole proprietor health care provider with primary practice located at 937 Highland Blvd Ste 5410 , Bozeman MT 59715-6916. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Utzinger, Tia can be contacted via phone (406) 414-2400.Contact Information
Primary practice address
937 Highland Blvd Ste 5410
Bozeman MT 59715-6916
Phone: (406) 414-2400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW-LIC-555 | Montana |
Profile Details
| NPI number | 1346636099 |
|---|---|
| LBN Legal business name | Utzinger, Tia |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 9th, 2015 |
| Last updated | Oct 26th, 2020 - about 6 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 | 1346636099 | NPPES |
| Montana | MEDICAID | 1346636099 |
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