Individual
REBECCA E MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1009 N GEORGETOWN ST, ROUND ROCK, TX 78664-3289
(638) 584-4309
Mailing address
1914 RIDGEMONT DR, AUSTIN, TX 78723-2639
(914) 400-9713
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1010485
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/04/2020
Last updated
09/20/2021
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