Individual
JOHN R MONTAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
12625 HIGH BLUFF DR, SUITE 206, SAN DIEGO, CA 92130-2052
(858) 259-8383
(858) 259-0303
Mailing address
12625 HIGH BLUFF DR, SUITE 206, SAN DIEGO, CA 92130-2052
(858) 259-8383
(858) 259-0303
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY12219
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSY122190
—
CA
Enumeration date
09/01/2006
Last updated
05/24/2019
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