Doctor Name: | MISS KATE MONTGOMERY |
NPI Number: | 1689073421 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | COND.2015116-SP |
Business Practice Address: | 70012 Sunset Hts Bridgeport, OH - 439128725 |
Business Phone Number: | 7402691758 |
Business Fax Number: | |
Mailing Address: | 70012 Sunset Hts, BRIDGEPORT |
State: | OH |
Postal Code: | 439128725 |
Phone Number: | 7402691758 |
Fax Number: | |
NPI Enumeration Date: | 08/18/2014 |
NPI Last Update Date: | 08/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | COND.2015116-SP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |