Montoya Perez, Heidi Dylani

Montoya Perez, Heidi Dylani is an sole proprietor health care provider with primary practice located at 1959 Ne Pacific St , Seattle WA 98195-4410. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Rehabilitation is her primary health care specialty. Montoya Perez, Heidi Dylani can be contacted via phone (206) 520-5000.

Contact Information

Primary practice address
1959 Ne Pacific St Seattle WA 98195-4410
Phone: (206) 520-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 60336314 Washington
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X PY60336314 Washington

Profile Details

NPI number 1811130735
LBN Legal business name Montoya Perez, Heidi Dylani
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 7th, 2009
Last updated Jul 12th, 2019 - about 7 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 1811130735 NPPES
Washington MEDICAID 1811130735

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