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Individual

MRS. WENDY MONTGOMERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
115 MAIN ST, SIDNEY, IA 51652-6069
(712) 374-2693
Mailing address
115 MAIN ST, SIDNEY, IA 51652-6069
(712) 374-2693

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002261
IA
235Z00000X
Speech-Language Pathologist
1523
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002261
IOWA STATE LICENSE
IA
01
1523
NEBRASKA STATE LICENSE
NE
Enumeration date
08/18/2011
Last updated
03/15/2024
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