Individual
DR. ROSARIO MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.H.D.
Contact information
Practice address
1100 S 33RD ST, TEMPLE, TX 76504-5238
(254) 314-2212
(254) 265-7504
Mailing address
1100 S 33RD ST, TEMPLE, TX 76504-5238
(254) 314-2212
(254) 265-7504
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
25450
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0403354-01
—
TX
01
—
680012940
RR/MEDICARE
TX
01
—
82374P
BLUE SHIELD
TX
Enumeration date
03/27/2006
Last updated
09/30/2024
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