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Joseph Paul Montgomery, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Novi, Michigan
NPI 1104155126

Joseph Paul Montgomery is a Psychiatric/Mental Health Nurse Practitioner based in Novi, MI and is specialized in Psychiatric/Mental Health. Joseph Paul Montgomery practices in Novi, MI and has the professional credentials of PMHNP-BC. The NPI Number for Joseph Paul Montgomery is 1104155126 and holds a License No. 6401011520 (Michigan).

The current practice location address for Joseph Paul Montgomery is 44725 Grand River Ave Ste 104, Novi, MI and can be reached out via phone at 517-882-3732.

Location: 44725 Grand River Ave Ste 104, Novi, MI, 48375-1024
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104155126
Provider Name
Joseph Paul Montgomery
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
44725 Grand River Ave Ste 104, Novi, MI, 48375-1024
Phone Number
517-882-3732
Fax Number
Provider Enumeration Date
12/22/2009
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
75091042 01 MI BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
44725 Grand River Ave Ste 104
City
Novi
State
Michigan
Zip
48375-1024
Phone Number
517-882-3732
Fax Number
person
Provider Business Mailing Address Details
Address
44725 Grand River Ave Ste 104
City
Novi
State
Michigan
Zip
48375-1024
Phone Number
517-882-3732
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
4704318966 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
6401011520 (Michigan)
Definition
Definition to come...
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