Organization
ROSE MONTGOMERY, M.S., CCC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSE INES MONTGOMERY M.S. (SPEECH/LANGUAGE PATHOLOGIST)
(505) 268-5098
Entity
Organization
Contact information
Practice address
1420 CARLISLE BLVD NE, ST. 201-E, ALBUQUERQUE, NM 87110-5660
(505) 255-6141
(505) 262-1903
Mailing address
4708 HANNETT AVE NE, ALBUQUERQUE, NM 87110-5016
(505) 268-5098
(505) 262-1903
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
140
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164520409
INDIVIDUAL NPI NUMBER
NM
Enumeration date
11/25/2009
Last updated
11/25/2009
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