Provider Demographics
NPI:1578833778
Name:KURTZ, MICHAEL JOHN (PSY D, MSCP)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JOHN
Last Name:KURTZ
Suffix:
Gender:M
Credentials:PSY D, MSCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:401 N 31ST ST, PO BOX 7077
Mailing Address - Street 2:SUITE 715
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101
Mailing Address - Country:US
Mailing Address - Phone:406-200-7221
Mailing Address - Fax:406-200-7232
Practice Address - Street 1:401 N 31ST ST STE 715
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-1285
Practice Address - Country:US
Practice Address - Phone:406-200-7221
Practice Address - Fax:406-200-7232
Is Sole Proprietor?:No
Enumeration Date:2012-01-04
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT4045103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical