Individual
JAMIE E MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
314 AVENIDA SIERRA, SAN CLEMENTE, CA 92672-3949
(949) 629-7292
Mailing address
314 AVENIDA SIERRA, SAN CLEMENTE, CA 92672-3949
(949) 629-7292
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
26161
CA
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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