Provider Demographics
NPI:1376111989
Name:PATRICIA L. MONTOYA, PSY. D., LLC
Entity Type:Organization
Organization Name:PATRICIA L. MONTOYA, PSY. D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MONTOYA
Authorized Official - Suffix:
Authorized Official - Credentials:PSY D
Authorized Official - Phone:541-778-7704
Mailing Address - Street 1:149 CLEAR CREEK DR.
Mailing Address - Street 2:UNIT 101
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-1882
Mailing Address - Country:US
Mailing Address - Phone:541-778-7704
Mailing Address - Fax:541-708-6818
Practice Address - Street 1:149 CLEAR CREEK DR.
Practice Address - Street 2:UNIT 101
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-1882
Practice Address - Country:US
Practice Address - Phone:541-778-7704
Practice Address - Fax:541-708-6818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-11
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty