Individual
MONTANA GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
21920 76TH AVENUE WEST, SUITE 102, EDMONDS, WA 98926-4831
(206) 657-6404
(206) 519-6672
Mailing address
21920 76TH AVENUE WEST, SUITE 102, EDMONDS, WA 98926-4831
206657640
(206) 519-6672
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL61331448
WA
Other
Enumeration date
09/15/2022
Last updated
04/05/2025
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