Montgomery, Dava

Montgomery, Dava is an sole proprietor health care provider with primary practice located at 1349 Empire Central Dr Suite 516, Dallas TX 75247-4066. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Montgomery, Dava can be contacted via phone (469) 364-8600.

Contact Information

Primary practice address
1349 Empire Central Dr Suite 516 Dallas TX 75247-4066
Fax: (817) 789-6849
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 19507 Texas

Profile Details

NPI number 1720327232
LBN Legal business name Montgomery, Dava
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 4th, 2013
Last updated Feb 4th, 2013 - about 13 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 1720327232 NPPES
Texas MEDICAID 149984001
Texas MEDICAID 207164901

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