Provider Demographics
NPI:1376630756
Name:BITTMAN, BETSY J (MD)
Entity Type:Individual
Prefix:DR
First Name:BETSY
Middle Name:J
Last Name:BITTMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-3428
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CENTER FOR MENTAL HEALTH
Practice Address - Street 2:900 NORTH JACKSON
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601
Practice Address - Country:US
Practice Address - Phone:406-443-7151
Practice Address - Fax:406-791-9629
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI544582084P0800X
MT1213182084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0MT0958910OtherBLUE CROSS-SHIELD OF MONTANA