Individual
CRYSTAL NICOLE MONTEMAYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 E 144TH ST, EAST CHICAGO, IN 46312-3046
(219) 391-4100
(219) 391-4126
Mailing address
5030 WALSH AVE, EAST CHICAGO, IN 46312-3654
(219) 801-1190
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
10138003
IN
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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