Individual
KENNETH T MONTEMAYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
3135 PROFESSIONAL DR, ANN ARBOR, MI 48104-5131
(248) 206-0486
Mailing address
4001 W MCNICHOLS RD, DETROIT, MI 48221-3038
(313) 578-0570
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6352001070
MI
Other
Enumeration date
08/07/2025
Last updated
08/11/2025
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