Healthcare Provider Details

I. General information

NPI: 1144096165
Provider Name (Legal Business Name): AARON STUSSER PSYD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2023
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1276 N 15TH AVE STE 101
BOZEMAN MT
59715-3289
US

IV. Provider business mailing address

1276 N 15TH AVE STE 101
BOZEMAN MT
59715-3289
US

V. Phone/Fax

Practice location:
  • Phone: 406-586-3301
  • Fax:
Mailing address:
  • Phone: 406-586-3301
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSYC.PY.70013447
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY-PSY-LIC-5624
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: