Provider Demographics
NPI:1306937842
Name:MONTOYA, HELEN MARIE (PHD)
Entity type:Individual
Prefix:DR
First Name:HELEN
Middle Name:MARIE
Last Name:MONTOYA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7441 O STREET
Mailing Address - Street 2:SUITE 402
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510
Mailing Address - Country:US
Mailing Address - Phone:402-483-4335
Mailing Address - Fax:402-483-5228
Practice Address - Street 1:7441 O STREET
Practice Address - Street 2:SUITE 402
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510
Practice Address - Country:US
Practice Address - Phone:402-483-4335
Practice Address - Fax:402-483-5228
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE372103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47082958926Medicaid
NE47082958926Medicaid
470829589Medicare UPIN