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NPI Code Detail

MEDICARE: TIMOTHY J RICHTER PH.D. PC

MEDICARE: TIMOTHY J RICHTER PH.D. PC
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 Counselor562 LCPCMT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649446469
Entity Type Code : Organization
Provider Name (Legal Business Name) : TIMOTHY J RICHTER PH.D. PC
Provider Business Mailing Address
First Line : 1018 N 30TH ST
Second Line :
City : BILLINGS
State : MT
Zip : 59101-0732
Country : US
Telephone Number : 406-245-8112
Fax Number : 406-245-7074
Provider Business Practice Location Address
First Line : 1018 N 30TH ST
Second Line :
City : BILLINGS
State : MT
Zip : 59101-0732
Country : US
Telephone Number : 406-245-8112
Fax Number : 406-245-7074
Authorized Official
Title or Position : OWNER
Name : TIMOTHY J RICHTER
Credential : LCPC
Telephone Number : 406-245-8112
Provider Enumeration Date : 05/01/2008
Last Update Date : 05/01/2008

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