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Individual

DR. DAN CHARLES MONTGOMERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
12601 BEE CAVE PKWY, #348, AUSTIN, TX 78738-6372
(512) 518-5340
(512) 687-5345
Mailing address
12601 BEE CAVE PKWY, #348, AUSTIN, TX 78738-6372
(512) 518-5340
(512) 687-5345

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY6944
CA
106H00000X
Marriage & Family Therapist
Primary
201872
TX

Other

Enumeration date
10/13/2012
Last updated
10/13/2012
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