Montanez-Miranda, Idalia
Montanez-Miranda, Idalia is an individual health care provider with primary practice located at 2205 W Lincoln Ave , Yakima WA 98902-2437. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Montanez-Miranda, Idalia can be contacted via phone (509) 469-6305.Contact Information
Primary practice address
2205 W Lincoln Ave
Yakima WA 98902-2437
Phone: (509) 469-6305
Fax: (509) 575-3398
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | IMH9410 | Florida |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2192 | Puerto Rico |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1342 | New Mexico |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY60898484 | Washington |
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY60898484 | Washington |
Profile Details
NPI number | 1942589296 |
---|---|
LBN Legal business name | Montanez-Miranda, Idalia |
Credentials | PSY.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 4th, 2011 |
Last updated | Nov 29th, 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 | 1942589296 | NPPES |
Washington | Other | PY60898484 | DEPARTMENT OF HEALTH |
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