Katie Montgomery, MeD
Speech-Language Pathologist, in Dallas, GA. Individual provider (NPI-1).
NPI number1982122040
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1982122040
- Entity type
- Individual (NPI-1)
- Name
- Katie Montgomery
- Credential
- MeD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 8, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | PCET002620 | GA | Yes |
Practice location
283 Red Hawk WayDallas, GA 30132
Phone 561-801-3148
Mailing address
283 Red Hawk WayDallas, GA 30132-1149
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