Organization
DR. HENRY A. MONTGOMERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY A MONTGOMERY PHD (PSYCHOLOGIST)
(509) 443-6149
Entity
Organization
Contact information
Practice address
905 W RIVERSIDE AVE, SUITE 501, SPOKANE, WA 99201-1016
(509) 744-0778
Mailing address
905 W RIVERSIDE AVE, SUITE 501, SPOKANE, WA 99201-1016
(509) 744-0778
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0130273
LABOR AND INDUSTRIES
WA
Enumeration date
01/25/2007
Last updated
07/11/2007
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