Stephanie Montague in Berkeley - Psychologist
Stephanie Montague - NPI 1174779540
Stephanie Montague is a Psychologist in Berkeley, California. Stephanie Montague practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Stephanie Montague is 1174779540. The last update date is 2019-07-01.
Stephanie Montague's current location address is 1600 Shattuck Ave Ste 200, Berkeley, California. You can contact this provider via phone number 3175061666. The mailing address for Stephanie Montague is 1600 Shattuck Ave Ste 200, Berkeley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephanie Montague |
|---|---|
| Address | 1600 Shattuck Ave Ste 200, Berkeley, California |
| Phone Number | 3175061666 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1174779540 |
|---|---|
| Provider Enumeration Date | 2008-08-17 |
| Last Updated Date | 2019-07-01 |
Provider Mailing Address Detail
| Address | 1600 Shattuck Ave Ste 200 |
|---|---|
| City | Berkeley |
| State | California (CA) |
| Post Code | 947091601 |
| Phone Number | 3175061666 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 20040937 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200251940A | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Stephanie Montague by the Centers for Medicare & Medicaid Services?
The Stephanie Montague has been issued the NPI (National Provider Identifier) 1174779540, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Stephanie Montague is located?
The Stephanie Montague is situated at the following address: 1600 Shattuck Ave Ste 200, Berkeley, CA, 947091601.
What is the area of specialization for Stephanie Montague, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Stephanie Montague is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.
On what date was the 1174779540 assigned to Stephanie Montague?
The Stephanie Montague was issued its 1174779540 on 2008-08-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Stephanie Montague, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Stephanie Montague, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-07-01.
NPI Number: 1366446767
Address: 835 Se Bishop Blvd, Pullman, WA