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MAIN LINE PSYCHIATRIC ASSOC. LTD NPI 1487768487


NPI Information

NPI: 1487768487
Provider Name: MAIN LINE PSYCHIATRIC ASSOC. LTD

Doing Business As: DEWITT H MONTGOMERY JR MD

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
100 LANCASTER AVENUE
441 LANKENAU MEDICAL BUILDING
WYNNEWOOD, PA
ZIP 19096
Phone: (610) 457-3744
Get Directions

MAIN LINE PSYCHIATRIC ASSOC. LTD is a psychiatry psychiatry neurology in Wynnewood, PA. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. MAIN LINE PSYCHIATRIC ASSOC. LTD NPI is 1487768487. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dewitt H Montgomery Jr Md.

The provider's business location address is:

100 LANCASTER AVENUE
441 LANKENAU MEDICAL BUILDING
WYNNEWOOD, PA
ZIP 19096
Phone: (610) 457-3744
Fax: (610) 667-9123

The provider's authorized official is Dewitt H Montgomery .
The authorized official title is President and has the following contact phone number (610) 457-3744.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 8/18/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatry0242722PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1031167MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
2C27981MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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