Doctor Name: | KATHLEEN JULIA MONTOYA |
NPI Number: | 1366721656 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | B.S. SLHS |
License Number: | |
Business Practice Address: | 9909 E 100 S Greentown, IN - 469369163 |
Business Phone Number: | 7656280605 |
Business Fax Number: | |
Mailing Address: | 509 Venetian Way, KOKOMO |
State: | IN |
Postal Code: | 469016710 |
Phone Number: | 7654379578 |
Fax Number: | |
NPI Enumeration Date: | 08/04/2011 |
NPI Last Update Date: | 08/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |