Provider Demographics
NPI:1952905721
Name:MONTGOMERY, ERIN KRISTIN (LPC)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:KRISTIN
Last Name:MONTGOMERY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 TERENCE DR STE 302
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236-4148
Mailing Address - Country:US
Mailing Address - Phone:412-945-0692
Mailing Address - Fax:
Practice Address - Street 1:60 TERENCE DR STE 302
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-4148
Practice Address - Country:US
Practice Address - Phone:412-945-0692
Practice Address - Fax:412-774-2627
Is Sole Proprietor?:No
Enumeration Date:2020-11-23
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC010015101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health