Montgomery, Samuel Austin

Montgomery, Samuel Austin is an individual health care provider with primary practice located at 110 Trealout Dr Ste 103 , Fenton MI 48430-1402. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Montgomery, Samuel Austin can be contacted via phone (248) 812-9046.

Contact Information

Primary practice address
110 Trealout Dr Ste 103 Fenton MI 48430-1402
Phone: (248) 812-9046
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 6451021910 Michigan
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6362009401 Michigan

Profile Details

NPI number 1760139638
LBN Legal business name Montgomery, Samuel Austin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2022
Last updated Mar 9th, 2022 - 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.

Request for update

Popular Providers