# KATHRYN MARY MONTGOMERY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1790928414
- **Gender:** F
- **Credential:** CCC-SLP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2355S0801X | Speech-Language Assistant | SLPA0100 | AZ | Yes |
| 235Z00000X | Speech-Language Pathologist | 4257 | NM | — |

## Other

- **Enumeration date:** 04/10/2009
- **Last updated:** 06/15/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1790928414 | NPI | — |