Individual
DR. CAROL ELLEN MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
142 NORTH RD, SUDBURY, MA 01776-1142
(978) 287-0810
Mailing address
1336 MAIN ST, CONCORD, MA 01742-2937
(978) 369-0182
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
4097
MA
Other
Enumeration date
01/25/2007
Last updated
07/09/2007
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