Organization
KIMBERLY MONTGOMERY PHD HSPP LLC
Active
Other names
Kimberly G Montgomery
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY G MONTGOMERY PHD (OWNER)
(317) 580-4007
Entity
Organization
Contact information
Practice address
6296 RUCKER RD STE A, INDIANAPOLIS, IN 46220-4852
(317) 580-4007
(833) 244-0469
Mailing address
6296 RUCKER RD STE A, INDIANAPOLIS, IN 46220-4852
(317) 580-4007
(833) 244-0469
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/30/2021
Last updated
10/30/2021
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