Individual
MARY MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCCC-SLP
Contact information
Practice address
333 STATE ST, NEWBURGH, IN 47630-1231
(812) 773-8321
Mailing address
2442 BALMORAL DR, HENDERSON, KY 42420-2587
(502) 541-4043
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22006383A
IN
235Z00000X
Speech-Language Pathologist
KY-2547
KY
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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