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NPI Code Detail

MEDICARE: MS. KRISTI ANN HYATT MS, LCPC

MEDICARE: MS. KRISTI ANN HYATT MS, LCPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor1371MT

General Provider Information

NPI Number : 1700041811
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KRISTI ANN HYATT MS, LCPC
Provider Business Mailing Address
First Line : PO BOX 10662
Second Line :
City : BOZEMAN
State : MT
Zip : 59719-0662
Country : US
Telephone Number : 406-581-8804
Fax Number :
Provider Business Practice Location Address
First Line : 2023 STADIUM DR STE 2B
Second Line :
City : BOZEMAN
State : MT
Zip : 59715-0613
Country : US
Telephone Number : 406-581-8804
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2008
Last Update Date : 10/17/2011

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