MARTHA FAIRCHILD DUDLEY LCPC
NPI 1366566358
Counselor - Professional in Bozeman, MT

Active since March 17, 2007
612 E MAIN ST, SUITE B, BOZEMAN, MT 59715(406) 539-0300(406) 522-0286 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Martha Fairchild Dudley Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARTHA FAIRCHILD DUDLEY LCPC (NPI 1366566358) is an individual professional provider in Bozeman, Montana, licensed in Montana (1037) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1366566358
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARTHA FAIRCHILD DUDLEYCredential: LCPC
Location Address612 E MAIN ST, SUITE BBozeman, MT 59715-3719
Mailing Address612 E Main St, Suite BBozeman, MT 59715-3719 · (406) 539-0300 · Fax (406) 522-0286
Fax(406) 522-0286
Sole ProprietorYes
Enumeration DateMarch 17, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1366566358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MT · 1037
612 E MAIN ST, Bozeman, MT 59715

Other Names 1

Professional Name (2)Lass Dudley Lcpc

Other Identifiers 1

Medicaid0255102MT

Accepted Insurance

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist (Pediatrics)
612 E MAIN ST, SUITE C
BOZEMAN, MT 59715
Physical Therapist
612 E MAIN ST, SUITE A
BOZEMAN, MT 59715
Speech-Language Pathologist
612 E MAIN ST, SUITE C
BOZEMAN, MT 59715
Counselor (Professional)
612 E MAIN ST, SUITE B
BOZEMAN, MT 59715
Occupational Therapist
612 E MAIN ST, C
BOZEMAN, MT 59715
Speech-Language Pathologist
612 E MAIN ST, #C
BOZEMAN, MT 59715
Psychologist (Clinical)
612 E MAIN ST, SUITE B
BOZEMAN, MT 59715
Physical Therapist
612 E MAIN ST, SUITE A
BOZEMAN, MT 59715

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Martha Dudley's NPI number?

The NPI number for Martha Dudley is 1366566358. It was assigned to this individual provider in the NPPES registry on March 17, 2007. The provider is also known as Lass Dudley Lcpc.

Where is Martha Dudley located?

Martha Dudley practices at 612 E Main St Suite B, Bozeman, MT 59715. The listed phone number is (406) 539-0300.

What is Martha Dudley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Martha Dudley accept?

Health plans from PacificSource Health Plans list Martha Dudley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Martha Dudley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.