Provider Demographics
NPI:1033435524
Name:MONTAGUE, EVE D (MT-BC)
Entity Type:Individual
Prefix:
First Name:EVE
Middle Name:D
Last Name:MONTAGUE
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CONSERVATORY DR
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-2647
Mailing Address - Country:US
Mailing Address - Phone:781-934-2731
Mailing Address - Fax:
Practice Address - Street 1:1 CONSERVATORY DR
Practice Address - Street 2:
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-2647
Practice Address - Country:US
Practice Address - Phone:781-934-2731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-09
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist