Organization
MONTGOMERY PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDITH R MONTGOMERY PH.D CLINICAL PSYCHO (OWNER)
(248) 539-3950
Entity
Organization
Contact information
Practice address
2131 BRYANSTON CRESCENT ST, DETROIT, MI 48207-3883
(248) 539-3950
(313) 567-9855
Mailing address
32841 MIDDLEBELT RD, SUITE 409, FARMINGTON HILLS, MI 48334-1771
(248) 539-3950
(313) 567-9855
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6301008150
MI
Other
Enumeration date
09/15/2009
Last updated
10/04/2010
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