Montague, Amy Diane
Montague, Amy Diane is an sole proprietor health care provider with primary practice located at 74710 Highway 111 Ste 102 , Palm Desert CA 92260-3820. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Montague, Amy Diane can be contacted via phone (310) 497-7047.Contact Information
Primary practice address
74710 Highway 111 Ste 102
Palm Desert CA 92260-3820
Phone: (310) 497-7047
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY 16740 | California |
Profile Details
| NPI number | 1245476753 |
|---|---|
| LBN Legal business name | Montague, Amy Diane |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2009 |
| Last updated | Sep 19th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245476753 | NPPES |
| California | Other | 1770668097 | NPI TYPE II |
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