Individual
DR. MARYJANE L. MONTALTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
18-20 EAST MARKET STREET, BOX 134, RHINEBECK, NY 12572-1606
(845) 876-1241
(845) 229-4038
Mailing address
99 MOUNTAIN VIEW RD, RHINEBECK, NY 12572-2808
(845) 876-1241
(845) 229-4038
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
015561-1
NY
103TB0200X
Cognitive & Behavioral Psychologist
015561-1
NY
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
015561-1
NY
103TF0200X
Forensic Psychologist
015561-1
NY
103TM1800X
Intellectual & Developmental Disabilities Psychologist
015561-1
NY
103TR0400X
Rehabilitation Psychologist
015561-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02784958
—
NY
01
—
11661034
CAQH
NY
Enumeration date
06/29/2006
Last updated
05/22/2009
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