Healthcare Provider Details

I. General information

NPI: 1891943981
Provider Name (Legal Business Name): RITA HAIDLE BILLOW PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2008
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 MILLS SPRING RD STE 5
EUREKA MT
59917-9773
US

IV. Provider business mailing address

320 E. 2ND STREET
LIBBY MT
59923
US

V. Phone/Fax

Practice location:
  • Phone: 406-229-8379
  • Fax:
Mailing address:
  • Phone: 406-283-6900
  • Fax: 406-293-6622

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1268
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: