Individual
STEPHANIE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S.
Contact information
Practice address
7920 BRUSH LAKE RD, NORTH LEWISBURG, OH 43060-9617
(937) 826-3102
Mailing address
1850 FORD RD, DELAWARE, OH 43015-7816
(937) 620-8669
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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