Individual
JESSICA R MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
161 HATCHER LN, CLARKSVILLE, TN 37043-5987
(931) 542-2168
Mailing address
1520 CEDAR SPRINGS CIR, CLARKSVILLE, TN 37042-1579
(317) 512-9955
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000004873
TN
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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