Individual
LESLIE E MONTGOMERY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH D
Contact information
Practice address
505 LIBBIE AVENUE, RICHMOND, VA 23226
(804) 288-8823
(804) 288-6423
Mailing address
505 LIBBIE AVENUE, RICHMOND, VA 23226
(804) 288-8823
(804) 288-6423
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810000730
VA
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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