Individual
GABRIELLE MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11661 GRANADA ST, LEAWOOD, KS 66211-1473
(913) 703-7641
Mailing address
3139 S SPECK AVENUE CT, INDEPENDENCE, MO 64057-1881
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2017017732
MO
235Z00000X
Speech-Language Pathologist
Primary
4250
KS
Other
Enumeration date
11/09/2017
Last updated
03/17/2018
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