Dr. Samuel A Montano, PHD
Psychologist, Clinical in Clovis, CA. Individual provider (NPI-1).
NPI number1164048609
StatusActive
Last updated in NPPESNov 20, 2024
Details
- NPI
- 1164048609
- Entity type
- Individual (NPI-1)
- Name
- Dr. Samuel A Montano
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 20, 2020
- Certification date
- Nov 20, 2024
- Last updated
- Nov 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSY28917 | CA | Yes |
Practice location
255 W Bullard Ave Ste 101Clovis, CA 93612-0861
Phone 559-443-8687
Mailing address
255 W Bullard Ave Ste 101Clovis, CA 93612-0861
Phone 559-299-2435
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