MEDICARE: MS. MONTANA AMES QUELER PHD

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	103TC0700X	Clinical Psychologist	PY11799	FL

General Provider Information

NPI Number	:	1649584475
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MONTANA AMES QUELER PHD

Provider Business Mailing Address
First Line	:	3923 W LEONA ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33629-7825
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3502 HENDERSON BLVD STE 321
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-4088
Country	:	US
Telephone Number	:	917-780-2504
Fax Number	:

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

Provider Enumeration Date	:	08/04/2010
Last Update Date	:	04/03/2026

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