Healthcare Provider Details

I. General information

NPI: 1023054558
Provider Name (Legal Business Name): LINDA F RYKOWSKI L.C.P.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2006
Last Update Date: 09/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1629 AVENUE D SUITE 2A BLDG B
BILLINGS MT
59102-3042
US

IV. Provider business mailing address

PO BOX 50103
BILLINGS MT
59105-0103
US

V. Phone/Fax

Practice location:
  • Phone: 406-670-9410
  • Fax: 406-252-8898
Mailing address:
  • Phone: 406-670-9410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1077
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: