Individual
DR. AMY K MONTAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4180 LA JOLLA VLG DR, SUITE 250, LA JOLLA, CA 92037
(858) 554-0801
(858) 054-0821
Mailing address
4180 LA JOLLA VLG DR, SUITE 250, LA JOLLA, CA 92037
(858) 554-0801
(858) 054-0821
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY11212
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CP11212
—
CA
Enumeration date
09/27/2006
Last updated
07/08/2007
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