Provider Demographics
NPI:1487881777
Name:HECTOR, ELIZABETH KAY (MSW)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:KAY
Last Name:HECTOR
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 W HOLLY ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:SIDNEY
Mailing Address - State:MT
Mailing Address - Zip Code:59270-3596
Mailing Address - Country:US
Mailing Address - Phone:406-433-4635
Mailing Address - Fax:406-433-8201
Practice Address - Street 1:1201 W HOLLY ST
Practice Address - Street 2:SUITE 4
Practice Address - City:SIDNEY
Practice Address - State:MT
Practice Address - Zip Code:59270-3596
Practice Address - Country:US
Practice Address - Phone:406-433-4635
Practice Address - Fax:406-433-8201
Is Sole Proprietor?:No
Enumeration Date:2009-06-15
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMX-065821041C0700X
MT45251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical