Montgomery, Lisa

Montgomery, Lisa is an individual health care provider with primary practice located at 1210 13Th St , Parkersburg WV 26101-4144. 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, Lisa can be contacted via phone (304) 420-9663.

Contact Information

Primary practice address
1210 13Th St Parkersburg WV 26101-4144
Phone: (304) 420-9663
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1457523631
LBN Legal business name Montgomery, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2008
Last updated Mar 28th, 2008 - about 17 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 1457523631 NPPES
West Virginia MEDICAID 3810002996

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