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
Phone: (469) 364-8600
Fax: (817) 789-6849
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720327232 | NPPES |
| Texas | MEDICAID | 149984001 | |
| Texas | MEDICAID | 207164901 |
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