MEDICARE: LINDA MONTANARI LMFT, ATR-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MT1825	FL
2	221700000X	Art Therapist	91-150	CT

General Provider Information

NPI Number	:	1225127210
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA MONTANARI LMFT, ATR-BC

Provider Business Mailing Address
First Line	:	322 BUCHANAN ST
Second Line	:	910
City	:	HOLLYWOOD
State	:	FL
Zip	:	33019-1202
Country	:	US
Telephone Number	:	954-673-3197
Fax Number	:

Provider Business Practice Location Address
First Line	:	322 BUCHANAN ST
Second Line	:	910
City	:	HOLLYWOOD
State	:	FL
Zip	:	33019-1202
Country	:	US
Telephone Number	:	954-673-3197
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	06/30/2014

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