Individual
DR. KATHLEEN MONTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
6325 HUMPHREYS BLVD, MEMPHIS, TN 38120-2300
(901) 522-7700
(901) 522-2600
Mailing address
6325 HUMPHREYS BLVD, MEMPHIS, TN 38120-2300
(901) 522-7700
(901) 259-0116
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
3675
TN
103TC0700X
Clinical Psychologist
Primary
3675
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q060496
—
TN
Enumeration date
03/18/2020
Last updated
10/21/2021
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