Montgomery, Diana Lynn

Montgomery, Diana Lynn is an sole proprietor health care provider with primary practice located at 401 South Queen Street Berkeley County Board Of Education, Martinsburg WV 25401. 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, Diana Lynn can be contacted via phone (304) 267-3500.

Contact Information

Primary practice address
401 South Queen Street Berkeley County Board Of Education Martinsburg WV 25401
Phone: (304) 267-3500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 6605 West Virginia

Profile Details

NPI number 1982876728
LBN Legal business name Montgomery, Diana Lynn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 1st, 2008
Last updated Apr 1st, 2008 - about 18 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 1982876728 NPPES
West Virginia MEDICAID 3810008864

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