Individual
KIMBERLY G MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD HSPP
Contact information
Practice address
6296 RUCKER RD STE A, INDIANAPOLIS, IN 46220-4852
(317) 580-4007
(833) 244-0469
Mailing address
6296 RUCKER RD STE A, INDIANAPOLIS, IN 46220-4852
(317) 580-4007
(833) 244-0469
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20040771A
IN
Other
Enumeration date
10/19/2006
Last updated
10/30/2021
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