Individual
MICHELLE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1893 RAILROAD STREET, EASTON, WA 98925
(509) 656-2317
Mailing address
904 E 2ND AVE, ELLENSBURG, WA 98926-3416
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
385302E
WA
Other
Enumeration date
05/16/2014
Last updated
05/19/2014
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