Individual
DR. SUSAN L MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
135 FOX RD STE E, KNOXVILLE, TN 37922-3367
(865) 405-2653
(865) 531-3948
Mailing address
135 FOX RD STE E, KNOXVILLE, TN 37922-3367
(865) 405-2653
(865) 531-3948
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P1932
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3686626
—
TN
Enumeration date
10/25/2006
Last updated
01/21/2022
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