# DR. MARYJANE L. MONTALTO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1851329577
- **Gender:** F
- **Credential:** PSY. D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 015561-1 | NY | — |
| 103TB0200X | Cognitive & Behavioral Psychologist | 015561-1 | NY | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 015561-1 | NY | Yes |
| 103TF0200X | Forensic Psychologist | 015561-1 | NY | — |
| 103TM1800X | Intellectual & Developmental Disabilities Psychologist | 015561-1 | NY | — |
| 103TR0400X | Rehabilitation Psychologist | 015561-1 | NY | — |

## Other

- **Enumeration date:** 06/29/2006
- **Last updated:** 05/22/2009