Individual
LEIGH ANN MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1022 SCOGIN DR, MONTICELLO, AR 71655-9709
(870) 367-4859
Mailing address
510 REBECCA CIR, MONTICELLO, AR 71655-3956
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#2139
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170624795
—
AR
Enumeration date
01/26/2010
Last updated
01/26/2010
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