Individual
DR. JEAN M MONTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
W62 N248 WASHINGTON AVENUE, SUITE # 207, CEDARBURG, WI 53012
(262) 375-1116
(262) 375-1071
Mailing address
W62 N248 WASHINGTON AVENUE, SUITE # 207, CEDARBURG, WI 53012
(262) 375-1116
(262) 375-1071
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1880057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39609400
—
WI
Enumeration date
01/23/2007
Last updated
07/08/2007
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