Individual
DR. CYNTHIA MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
901 SARA CT APT 230, VACAVILLE, CA 95687-6280
(415) 599-6844
Mailing address
901 SARA CT APT 230, VACAVILLE, CA 95687-6280
(415) 599-6844
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8862
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
493616312
—
MO
01
—
729
NEBRASKA LICENSE
NE
Enumeration date
07/17/2006
Last updated
07/19/2022
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