Montgomery, Pamella A

Montgomery, Pamella A is an individual health care provider with primary practice located at 3887 Okemos Rd Suite A4, Okemos MI 48864-3664. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Montgomery, Pamella A can be contacted via phone (517) 381-0111.

Contact Information

Primary practice address
3887 Okemos Rd Suite A4 Okemos MI 48864-3664
Fax: (517) 381-0444
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801000545 Michigan

Profile Details

NPI number 1386614006
LBN Legal business name Montgomery, Pamella A
Credentials LSW, ACSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jul 8th, 2007 - about 17 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 1386614006 NPPES
Michigan Other 80OC311530 BCBS PROVIDER

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