Montgomery, Melinda M.

Montgomery, Melinda M. is an sole proprietor health care provider with primary practice located at 2501 Dena Dr , San Angelo TX 76904-5014. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Montgomery, Melinda M. can be contacted via phone (325) 223-0786.

Contact Information

Primary practice address
2501 Dena Dr San Angelo TX 76904-5014
Phone: (325) 223-0786
Fax: (325) 617-4196
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 18065 Texas

Profile Details

NPI number 1619192986
LBN Legal business name Montgomery, Melinda M.
Credentials M.S., L.P.C., L.P.A.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2007
Last updated May 10th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619192986 NPPES
Texas Other 6232LC BLUECROSS BLUESHIELD OF T
Texas MEDICAID 157588801 BLUECROSS BLUESHIELD OF T

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