Sallie E Montgomery in Eden Prairie - Clinical
Sallie E Montgomery - NPI 1962436469
Sallie E Montgomery is a Clinical in Eden Prairie, Minnesota. Sallie E Montgomery practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sallie E Montgomery is 1962436469. The last update date is 2007-07-08.
Sallie E Montgomery's current location address is 6515 Pinnacle Dr, Eden Prairie, Minnesota. You can contact this provider via phone number 9529342212. The mailing address for Sallie E Montgomery is 6515 Pinnacle Dr, Eden Prairie, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sallie E Montgomery |
|---|---|
| Address | 6515 Pinnacle Dr, Eden Prairie, Minnesota |
| Phone Number | 9529342212 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSYD, LP |
NPI Number Detail
| NPI Number | 1962436469 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6515 Pinnacle Dr |
|---|---|
| City | Eden Prairie |
| State | Minnesota (MN) |
| Post Code | 553461906 |
| Phone Number | 9529342212 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | LP3354 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identification code assigned to Sallie E Montgomery by the Centers for Medicare & Medicaid Services?
The Sallie E Montgomery has been issued the NPI (National Provider Identifier) 1962436469, 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 Sallie E Montgomery is located?
The Sallie E Montgomery is situated at the following address: 6515 Pinnacle Dr, Eden Prairie, MN, 553461906.
What is Sallie E Montgomery's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Sallie E Montgomery's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1962436469 to Sallie E Montgomery?
The Centers for Medicare & Medicaid Services assigned the 1962436469 to Sallie E Montgomery on 2006-07-10.
When was the Sallie E Montgomery's information last updated?
The Sallie E Montgomery's information was last updated on 2007-07-08.
NPI Number: 1184627523
Address: 8901 Wisconsin Ave., National Naval Medical Center, Bethesda, MD