Susan L Montgomery in Knoxville - Clinical
Susan L Montgomery - NPI 1811072218
Susan L Montgomery is a Clinical in Knoxville, Tennessee. Susan L Montgomery practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan L Montgomery is 1811072218. The last update date is 2022-01-21.
Susan L Montgomery's current location address is 135 Fox Rd Ste E, Knoxville, Tennessee. You can contact this provider via phone number 8654052653 and fax number 8655313948. The mailing address for Susan L Montgomery is 135 Fox Rd Ste E, Knoxville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan L Montgomery |
|---|---|
| Address | 135 Fox Rd Ste E, Knoxville, Tennessee |
| Phone Number | 8654052653 |
| Fax Number | 8655313948 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1811072218 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2022-01-21 |
Provider Mailing Address Detail
| Address | 135 Fox Rd Ste E |
|---|---|
| City | Knoxville |
| State | Tennessee (TN) |
| Post Code | 379223367 |
| Phone Number | 8654052653 |
| Fax Number | 8655313948 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | P1932 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3686626 | TN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Susan L Montgomery by the Centers for Medicare & Medicaid Services (CMS)?
The Susan L Montgomery has been assigned the NPI (National Provider Identifier) 1811072218. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Susan L Montgomery is located?
The Susan L Montgomery is situated at the following address: 135 Fox Rd Ste E, Knoxville, TN, 379223367.
What is Susan L Montgomery's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Susan L Montgomery is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1811072218 to Susan L Montgomery?
The Susan L Montgomery received its 1811072218 assignment from the Centers for Medicare & Medicaid Services on 2006-10-25.
When was the Susan L Montgomery's information last updated?
The Susan L Montgomery's information was last updated on 2022-01-21.