Doctor Name: | KATHRYN MARY MONTGOMERY |
NPI Number: | 1790928414 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 4257 |
Business Practice Address: | 2025 Galisteo St Santa Fe, NM - 875052101 |
Business Phone Number: | 5059954901 |
Business Fax Number: | 5059896483 |
Mailing Address: | 455 Saint Michaels Dr, Attn: Carla Gomez, Physician Practices SANTA FE |
State: | NM |
Postal Code: | 875057601 |
Phone Number: | 5058205227 |
Fax Number: | 5059136627 |
NPI Enumeration Date: | 04/10/2009 |
NPI Last Update Date: | 04/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4257 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
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 |