| Doctor Name: | KRISTINA O'TOOLE-MONTGOMERY |
| NPI Number: | 1023408226 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 218797 |
| Business Practice Address: | 439 S Union St Building #1 Suite #110 Lawrence, MA - 018432837 |
| Business Phone Number: | 9786885070 |
| Business Fax Number: | |
| Mailing Address: | 46a Bartley St, WAKEFIELD |
| State: | MA |
| Postal Code: | 018803130 |
| Phone Number: | 7812499088 |
| Fax Number: | |
| NPI Enumeration Date: | 01/27/2015 |
| NPI Last Update Date: | 01/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 218797 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |