Individual
DR. EMILY LENORE MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
216 VAUGHAN ST, PORTLAND, ME 04102-3204
(207) 662-4385
Mailing address
216 VAUGHAN ST, PORTLAND, ME 04102-3204
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS2599
ME
103G00000X
Clinical Neuropsychologist
PSY10000052
MA
103T00000X
Psychologist
PS2599
ME
103T00000X
Psychologist
PSY10000052
MA
Other
Enumeration date
10/13/2022
Last updated
09/25/2024
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