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NPI Code Detail

MEDICARE: STEPHANIE LISA MONTES

MEDICARE: STEPHANIE LISA MONTES
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
1103TS0200XSchool PsychologistVA
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1447668454
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE LISA MONTES
Provider Business Mailing Address
First Line : 2120 E LA SALLE ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-2218
Country : US
Telephone Number : 719-465-2986
Fax Number :
Provider Business Practice Location Address
First Line : 2120 E LA SALLE ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-2218
Country : US
Telephone Number : 719-466-4809
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2014
Last Update Date : 06/21/2024

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Directions to “ STEPHANIE LISA MONTES ” Practice Location

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