Individual
CATHY MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2804 FREMONT AVE S, MPLS, MN 35408
(612) 872-0099
Mailing address
2804 FREMONT AVE S, MPLS, MN 35408
(612) 872-0099
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2710
MN
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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