Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor |
NPI | 1174951735 |
---|---|
Provider Name | Megan Montgomery |
First Address | Collingdale, PA 19023-3826 |
Second Address | Collingdale, PA 19023-3826 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2013 |
Last Update Date | 17/10/2013 |