Montgomery, Tina Marie

Montgomery, Tina Marie is an individual health care provider with primary practice located at 500 W Grant St , Lake City MN 55041-1143. 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, Tina Marie can be contacted via phone (651) 345-3321.

Contact Information

Primary practice address
500 W Grant St Lake City MN 55041-1143
Phone: (651) 345-3321
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 7953 Minnesota

Profile Details

NPI number 1992217673
LBN Legal business name Montgomery, Tina Marie
Credentials M.S. CCC/SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2017
Last updated Feb 2nd, 2021 - about 5 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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