Individual
ANNE MARY K MONTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 944-8660
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042298A
IN
103TC0700X
Clinical Psychologist
99030006A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000598098
ANTHEM PTAN
IN
01
—
000001360153
ANTHEM PTAN
IN
05
—
200937070
—
IN
Enumeration date
05/16/2007
Last updated
03/15/2025
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