| Pamella Montgomery Ph D Pllc | |
|
4123 Okemos Rd Suite 14 Okemos MI 48864-2818 | |
| (517) 347-7736 | |
| (517) 347-4644 |
| Full Name | Pamella Montgomery Ph D Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 4123 Okemos Rd, Okemos, Michigan |
| Authorized Official Name and Position | Pamella Montgomery (OWNER) |
| Authorized Official Contact | 5173477736 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pamella Montgomery Ph D Pllc 4123 Okemos Rd Suite 14 Okemos MI 48864-2818 Ph: (517) 347-7736 | Pamella Montgomery Ph D Pllc 4123 Okemos Rd Suite 14 Okemos MI 48864-2818 Ph: (517) 347-7736 |
| NPI Number | 1326278144 |
|---|---|
| Provider Enumeration Date | 07/15/2009 |
| Last Update Date | 10/19/2009 |
| Medicare PECOS PAC ID | 6709923022 |
|---|---|
| Medicare Enrollment ID | O20091019000646 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326278144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801000545 (Michigan) | Primary |
| Provider Name | Pamella A Montgomery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386614006 PECOS PAC ID: 6709870926 Enrollment ID: I20040412000843 |
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