Individual
MRS. CARRIE ELIZABETH MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC/SLP
Contact information
Practice address
6317 HIGHWAY 329, CRESTWOOD, KY 40014-9040
(502) 384-0910
Mailing address
2670 SIMLER RD SE, CORYDON, IN 47112-7930
(812) 968-9372
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
10-019
KY
235Z00000X
Speech-Language Pathologist
Primary
139608
KY
Other
Enumeration date
09/23/2010
Last updated
11/14/2016
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