Montgomery, Lisa

Montgomery, Lisa is an individual health care provider with primary practice located at 3445 Spring Branch Trl Apt 163 , Melbourne FL 32935-5786. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Montgomery, Lisa can be contacted via phone (814) 404-5913.

Contact Information

Primary practice address
3445 Spring Branch Trl Apt 163 Melbourne FL 32935-5786
Phone: (814) 404-5913
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PC005472 Pennsylvania

Profile Details

NPI number 1992471072
LBN Legal business name Montgomery, Lisa
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2021
Last updated Aug 19th, 2021 - about 3 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.

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