Mrs Tina Marie Montgomery, MS CCC/SLP is a
Speech-language Pathologist based in Lake City, Minnesota. Mrs Tina Marie Montgomery is licensed to practice in Minnesota (license number 7953) and her current practice location is
500 W Grant St, Lake City, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(651) 345-3321.
NPI number for Mrs Tina Marie Montgomery is 1992217673 and her current mailing address is 912 S Oak St, Lake City, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992217673.
Healthcare Provider's Profile
Full Name | Mrs Tina Marie Montgomery |
---|
Gender | Female |
---|
Speciality | Speech-language Pathologist |
---|
Location | 500 W Grant St, Lake City, Minnesota |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1992217673
- Provider Enumeration Date: 11/02/2017
- Last Update Date: 02/02/2021
Medical Identifiers
Medical identifiers for Mrs Tina Marie Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992217673 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 7953 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tina Marie Montgomery is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Tina Marie Montgomery, MS CCC/SLP 912 S Oak St, Lake City, MN 55041-1857 Ph: (651) 380-1609 | Mrs Tina Marie Montgomery, MS CCC/SLP 500 W Grant St, Lake City, MN 55041-1143 Ph: (651) 345-3321 |
Reviews and Comments