Doctor Name: | MONTGOMERY OSTRANDER |
NPI Number: | 1023430667 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 495 E Twin Palms Dr #5 Palm Springs, CA - 922640533 |
Business Phone Number: | 3234207840 |
Business Fax Number: | |
Mailing Address: | 495 E Twin Palms Dr, #5 PALM SPRINGS |
State: | CA |
Postal Code: | 92264 |
Phone Number: | 3234207840 |
Fax Number: | |
NPI Enumeration Date: | 01/16/2014 |
NPI Last Update Date: | 01/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |