Individual
MONTGOMERY OWSIANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
39105 GRENNADA ST, LIVONIA, MI 48154-4744
(586) 360-0024
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6351004870
MI
103T00000X
Psychologist
Primary
—
MI
103TC0700X
Clinical Psychologist
6351004870
MI
Other
Enumeration date
04/14/2025
Last updated
06/08/2026
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