Individual provider · Type 1 NPI

Lisa Montgomery, PhD

Professional Counselor · Melbourne, FL

NPI number 1992471072 Active

Practice location

3445 Spring Branch Trl Apt 163
Melbourne, FL 32935-5786

Call (814) 404-5913 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XPC005472 (PA)

Professional Counselor: Definition to come...

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About NPI 1992471072

Lisa Montgomery, PhD's National Provider Identifier is 1992471072, issued on Aug 19, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Melbourne, FL. The record was last updated on Aug 19, 2021.